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(e) Maintaining the Use of the Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients With Multiple Chronic Conditions Measure in the APP Quality Measure Set and Including It in the APP Plus Quality Measure Set We noted in the CY 2025 PFS proposed rule (87 FR 46154 through 46155) that Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (Quality ID #484) is an administrative claims-based measure that is in the APP quality measure set for the MIPS CY performance period 2025/2027 payment year under policies finalized in the CY 2024 PFS final rule (88 FR 79113 and 79114) but is not one of the ten Adult Universal Foundation measures