chewing tobacco in the workplace | NIOSH Science Bulletin Nicotine Pouch vs. Chewing Tobacco

Redesignating paragraph (e) as paragraph (d)

We seek to identify a procedure-specific, data-driven method for assigning shares to portions of the global package payment to more appropriately reflect the resources involved in each portion

And studies looking at people who smoke fewer than 10 cigarettes per day show an increased risk of smoking-related cancers and other diseases

One commenter stated their preference to have their quality performance compared to all other participants on these measures, while another commenter stated that CMS should stop measuring ACOs against each other and instead measure ACOs on a national standard so that all ACOs can pass and do not lose out on savings due to arbitrary quality decile cut points

In particular, we seek comment on the approach we outlined for conducting initial analysis of whether the improper payments would warrant reopening the ACO's payment determination