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We derive this estimate from the number of applications received during the CY 2023 qualified registry self- nomination period for the CY 2024 performance period/2026 MIPS payment year, while anticipating that: (1) some qualified registries may face remedial action or termination during the CY 2024 performance period/2026 MIPS payment year, and (2) some intermediaries may electively discontinue participating as a qualified registry

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