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Another commenter proposed an alternative for CMS to update the health equity adjustment to only apply to ACOs that report via Medicare CQMs to eliminate the overlap between these adjustments

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And third, it is advised to vaccinate as often as necessary, but as infrequently as possible (e.g., according to the principles of current vaccination guidelines, such as triennial vaccination for FHV and FCV in cats with low risk of exposure, avoiding FeLV vaccination in already FeLV-infected cats and avoiding FPV vaccination in cats with pre-existing antibodies against FPV)