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The Medicare CQM quarterly list, starting no later than performance year 2025 Quarter 4, will be based on the finalized definition of a “beneficiary eligible for Medicare CQMs.” We believe the proposed changes would have minimal impact on ACOs' existing processes and will not require system updates or substantial additional planning because the ACO would continue to apply the measure specifications to the population of beneficiaries eligible for Medicare CQMs, but the beneficiary population would be based on a list of beneficiaries that better reflects the ACO's assigned population