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Commenters noted that the aggregation of data across various TINs using health IT systems may be logistically difficult and complex, as groups and health IT systems have different ways of collecting and storing data and stated that data aggregation across various systems for measures and activities under each performance category may not be possible if qualified registries do not have the option to assist virtual groups (82 FR 53610)

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These changes reflect the impact of the six MVPs finalized in section IV.A.4.a(1) of this final rule and the availability of more up-to-date data and assumptions

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