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In addition to ensuring access to primary care, we also recognize the importance of addressing patients' upstream drivers of health

We believe that starting with a level of downside risk already familiar to many ASM participants who previously participated in MIPS would be appropriate given that the application of ASM payment adjustment factors would be applied to Medicare Part B claims for covered professional services (as discussed earlier in this section of this final rule) in a similar fashion as MIPS as defined at 414.1405(e)

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