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This is largely due to enhanced mitochondrial activity and increased fatty acid oxidation, meaning the body burns more calories even without additional exercise

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Both the health equity adjustment and the Complex Organization Adjustment serve to upwardly adjust an ACO's quality score to increase the ACO's ability to meet the quality performance standard by achieving a quality score that is equivalent to or higher than the 40th percentile across all MIPS quality performance category scores, excluding entities/providers eligible for facility-based scoring

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