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We also acknowledge their concerns that clinicians with QP or Partial QP status under the Quality Payment Program should be excluded from ASM or allowed to voluntarily participate As we wrote in the CY 2026 PFS proposed rule, we designed ASM so that it would capture a greater share of FFS beneficiaries with ASM's targeted chronic conditions, creating opportunities to improve quality and reduce unnecessary and low-value care spending related to these conditions (90 FR 32627)

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