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If a hospital does not meet threshold for a measure, a measure score for the hospital is not publicly reported, and therefore a score for that given measure does not factor into the Overall Hospital Quality Star Rating

We acknowledge the Hospital Recommendation Group's concerns and note that multiple TEPs and interested parties supported the inclusion of more than one numerator component as a strategy for internally balancing the measure and that time thresholds are ( based on more than a decade of consensus work

Resulting concentration: Calculated or confirmed via the chart

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However, we are sensitive to payment disparities the commenter raises between the OPPS and ASC payment system and will continue to monitor this issue and consider the commenter's recommendation in future rulemaking