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We finalized that incentives for reporting MVPs, including reduced reporting requirements, allow MVP Participants to report on a smaller, more cohesive subset of measures and activities that are relevant to a given clinical topic, condition, or episode of care (86 FR 65419 and 65420)

If all of this wasnt enough of a reason to avoid the use of smokeless tobacco, the potential for bacteria to form around the chew as it sits in the mouth very often lead to bad breath for users