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We found that for the 18 ACOs that would have been eligible to receive the Complex Organization Adjustment, the average MIPS quality performance category score would have been 6 percentage points higher on average as compared to an average increase of 3 percentage points that these ACOs earned through the application of the health equity adjustment bonus points, thus increasing the likelihood for these ACOs to meet the quality performance standard by achieving a quality score that is equivalent to or higher than the 40th percentile across all MIPS quality performance category scores, excluding entities/providers eligible for facility-based scoring