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These included removing all topped out measures at the end of the topped out measure lifecycle, exempting all topped out measures in specialty measure sets from application of the 7-point cap, applying a denominator reduction for those scoring 7 out of 10 measure achievement points on topped out measures in specialty measure sets, and adopting a new reweighting policy for the quality performance category for clinicians impacted by limited measure choice that score below the performance threshold

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The highest risk was among those with the most pack-years and the shortest duration since quitting

Maintenance: In the maintenance stage, individuals focus on sustaining their tobacco-free lifestyle and preventing relapse