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The cultures were then incubated for 24 h at 37 C in a humidified atmosphere with 5% CO 2

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After consideration of public comments, we are finalizing as proposed to update at 414.1365(d)(3)(iii) that in the CY 2023 through 2024 performance periods/2025 through 2026 MIPS payment years, the improvement activities performance category score is calculated based on the submission of high- and medium-weighted improvement activities