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and (3) adding paragraph (g)(2) to provide that, for each of the 2027, 2028, and 2029 MIPS payment years, the performance threshold is the mean of the final scores for all MIPS eligible clinicians from a prior period as specified under 414.1405(b)(10)

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Use of cigars/cigarillos appears to have increased through the 2000s until a peak around 2008, after which prevalence generally declined, although the most recent years suggest a possible reversal of this trend (Figure 4.2)