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The commenter continued to state that the revised cost weights are not supported by other data and cited a recent Medical Group Management Association (MGMA) survey of group practices which estimated provider income (that is, physician work) to account for 30 to 40 percent of revenue, labor (support staff) was the largest component of practice expenses, accounting for 25 to 30 percent of revenue, rent accounting for 5 to 10 percent of costs (6 percent of revenue) and malpractice accounting for 3 to 5 percent of costs

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This standardized approach ensures consistent quality measurement across all ASM participants while maintaining the clinical integrity of the model