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Specifically, we proposed that for performance year 2025 and subsequent performance years, an ACO will meet the quality performance standard used to determine eligibility for maximum shared savings and to avoid maximum shared losses, if applicable: If the ACO reports all of the eCQMs in the APP Plus quality measure set applicable for a performance year, meeting the data completeness requirement at 414.1340 for all eCQMs, and

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B12 is only found in animal products (meat, eggs, shellfish, dairy), making deficiency especially common among vegans and vegetarians