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Additionally, CMS has supported ACOs in preparing for this proposed change by adding an additional variable to the quarterly list, beginning in performance year 2025 Quarter 2, to flag each beneficiary who had a primary care service visit to identify “beneficiaries eligible for Medicare CQMs” under the proposed definition

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Important Context Successful weight reduction in any protocol requires: Caloric control Adequate protein intake Resistance training Sleep optimisation Peptides modulate pathways — they do not replace foundational variables