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For these MVP Participants, we calculated both an MVP and a traditional MIPS score and took the highest score consistent with the existing scoring hierarchy which was finalized in the CY 2023 PFS final rule (86 FR 65537)

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This potential disconnect could be easily addressed by reporting additional times when conducting a toxicity test (e.g., providing time-to-death estimates and also LC 50 s at multiple time points) or conducting tests of shorter duration

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