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In the CY 2025 PFS propose rule, we proposed a phased approach to establish the APP Plus quality measure set over four years (89 FR 62024)

Regulatory and commercial factors rather than safety concerns explain this limitation

ReesKHartleyLFlowersNClarkeAHooperLThorogoodMet al

The model effectively forecasted patient survival, and the nomogram, incorporating additional clinical risk factors, satisfied clinical needs adequately