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These included removing all topped out measures at the end of the topped out measure lifecycle, exempting all topped out measures in specialty measure sets from application of the 7-point cap, applying a denominator reduction for those scoring 7 out of 10 measure achievement points on topped out measures in specialty measure sets, and adopting a new reweighting policy for the quality performance category for clinicians impacted by limited measure choice that score below the performance threshold

and developing a database of clinical and genetic data from patients with childhood cancers to help lead to the discovery of new implicated genetic pathways (939)

The performance category weights used to calculate the final score for a MIPS eligible clinician who is scored through the APP at 414.1367(d)(1) are: Quality: 50 percent