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The inclusion of half of the measures in the Universal Foundation in the existing APP quality measure set and the recognition that a significant number of current and potential users of the APPthose clinicians participating in MIPS APMspractice in primary and preventive care areas that are relevant to the Universal Foundation make the APP a meaningful addition to CMS's efforts at quality alignment by bringing in MIPS reporting by MIPS APM participants and in turn by providing feedback in the form of their MIPS quality score to those participants as they also continue to work towards advancing the care they provide within the context of their respective MIPS APMs

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In addition to representing mental confusion, smoke also carries an emotional burden related to a certain situation or event