To determine whether to apply reweighting to the Promoting Interoperability performance category, CMS will consider: whether the MIPS eligible clinician knew or had reason to know of the issue with its third party intermediary's submission of the clinician's data for the performance category
There are many health risks to hookah smoking

Hookah smoking is perceived as not harmful, possibly due to the following reasons: In a hookah, since the smoke is filtered through water, it is not considered harmful, although no scientific evidence exists to support this claim The wide variety of flavors and sweet aroma of the tobacco and attractive packaging tempts young people to smoke hookah The flavors and sweetness of the tobacco masks the characteristic harsh taste of the smoke, which makes it easier for youngsters to get hooked to smoking hookahs Promotion and advertising in social media is also a major factor for the popularity of hookah smoking Misperceptions about the addictive potential and health hazards are other factors for the high prevalence of hookah smoking Since hookah tobacco packages do not carry any health warnings, it is perceived as not harmful Since many people smoke hookahs casually as a way of social interaction, recreation, and relaxation, it is perceived as less habit-forming Conclusion A misperception about hookah smoking prevails in the society that it is not harmful

How We Got Here: Four Decades of Change Smoking was once commonplace in offices, restaurants, and even on aeroplanes
Heated tobacco uses real tobacco, offering an alternative to cigarette smoking, whereas e-cigarettes use liquids and contain no tobacco
As discussed in the November 2011 final rule (76 FR 67808), CMS has found [a] minimum threshold is important with respect to both the eligibility of the ACO to participate in the program and to the statistical stability for purposes of calculating per capita expenditures and assessing quality performance