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Therefore, MVP Participants who do not participate in a certified or recognized PCMH or comparable specialty practice must submit one high-weighted improvement activity or two medium-weighted improvement activities included in the MVP to receive a full credit score of 40 points

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10.1155/2012/406850 Varani J, Warner RL, Gharaee-Kermani M, et al.: Vitamin A antagonizes decreased cell growth and elevated collagen-degrading matrix metalloproteinases and stimulates collagen accumulation in naturally aged human skin