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In immunologically cold tumors lacking sufficient innate activation, type I IFN signaling, and conventional type-1 dendritic-cell (cDC1) recruitment, the local immune response fails to propagate systemically or generate long-lived memory T cells

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Further, one commenter suggested that when selecting measures under this proposal, CMS should view performance rates for traditional MIPS independently from MVPs while another commenter requested that CMS remove the 7-point cap for a specified timeframe to ensure stability for clinicians

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