The addictive nature of nicotine and the legal status of tobacco products makes it easy to obtain but incredibly difficult to stop
Conversely, this could lead to more frequent and prolonged tobacco use, resulting in higher nicotine tolerance and dependency among users, ultimately perpetuating a cycle of addiction
CMS considered these requests in development of this proposed rule but does not believe it necessary to provide further information to fulfill its statutory obligation and believes that the potential benefit to manufacturers of additional data are outweighed by the administrative burdens additional reporting would impose to the agency
While we do not believe there is additional quality reporting for ACO APM entities, consistent with assumptions used in the CY 2021, CY 2022, CY 2023, and CY 2024 PFS final rules (85 FR 84972, 86 FR 65567, 87 FR 70145, and 88 FR 79434, respectively), we include all quality data voluntarily submitted by MIPS APM participants at the individual or TIN-level in our respondent estimates
