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We believe the quartile-based approach in conjunction with the requirement of at least three Safety of Care measures provides a suitable balance between emphasizing Safety of Care broadly across all hospitals (not just at a few extremely low performers) while also ensuring that only hospitals with demonstrably below-average performance would be subject to Overall Hospital Quality Star Rating reduction

Background on Section 603 of the Bipartisan Budget Act of 2015 and the PFS Relativity Adjuster Section 603 of the Bipartisan Budget Act of 2015 (Pub