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A commenter recommended that CMS adopt and re-specify the MSK-3 measure for this measure set, noting that the MSK-3 measure utilizes PROMIS Pain Interference, which would offer significant benefits, such as enabling cross-cutting comparability of results across diverse patient populations and care settings that are not limited solely to low back pain

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Moreover, in waiting to perform the individual-level calculations until after the third snapshot, we are able to take into account any APM Entities that were ( terminated from their Advanced APM participation after the first, second, or third snapshot, which is an action that can result in the loss of previously attained QP status at § 414.1425(c)(5) and (6) and could result in the eligible clinician being subject to MIPS