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(b) Episode-Based Cost Measure (EBCM) Episode Volume In the CY 2026 PFS proposed rule, we discussed our belief that the ASM participant eligibility criteria must appropriately identify clinicians who furnish a sufficient volume of services related to ASM targeted chronic conditions and who can be appropriately evaluated on related costs for those conditions

Comment: A commenter stated that it is inconsistent to remove the health equity adjustment while retaining the HEBA when, in the commenter's belief, they share the goal of supporting ACOs that serve vulnerable populations and incentivizing their long-term participation

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To ensure that premium data are homogenous and comparable across geographic areas, data were collected for policies with uniform coverage limits of $1 million per occurrence and $3 million aggregate ($1 million/$3 million)