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It is unclear whether existing smoking cessation guidelines can be applied to vaping products and there are no studies of the efficacy of medications approved for smoking cessation for aiding vaping cessation

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As further discussed under section IV.A.4.g.(2)(c), we are proposing to continue using the mean of the final scores for all MIPS eligible clinicians from the CY 2017 performance period/2019 MIPS payment year to establish the performance threshold as 75 points for the CY 2025 performance period/2027 MIPS payment year

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