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We also note that all 26 ACOs that reported eCQMs/MIPS CQMs (that is, the 18 the ACOs that would have been eligible for the Complex Organization Adjustment had it been applicable for performance year 2024 and the eight ACOs that did not submit at least one eCQM and would not have been eligible for the Complex Organization Adjustment had it been applicable for performance year 2024) were eligible for the eCQM/MIPS CQM reporting incentive, which allowed these ACOs to meet the quality performance standard and be eligible to receive maximum shared savings and avoid maximum shared losses (if applicable) regardless of their quality score