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In the CY 2025 PFS final rule (89 FR 98427 through 98439), we finalized policies for scoring topped-out measures in specialty measure sets with limited measure choice at § 414.1380(b)(1)(iv)(C) and (b)(1)(ii)(E) and a Complex Organization Adjustment for virtual groups and APM Entities at § 414.1380(b)(1)(vii)(C)