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One of their offerings is Copenhagen pouches

Unlike most chewing tobacco, snus is steam pasteurized and the user does not need to spit, disposing of it simply by removing the pouch when finished

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[474] A recent study noted the resource intensity of quality reporting, underscoring the high cost of claims-based measures relative to others and recommended that policy makers shift to electronic metrics to optimize resources spent in the overall pursuit of higher quality. [475] For these reasons, and to continue encouraging ACOs on their progress to adopt digital quality measurement, we are not modifying the availability of eCQMs as a collection type for ACOs that reported the APP quality measure set by including eCQMs as a collection type in the APP Plus quality measure set in performance year 2025 and subsequent performance years

To align MDPP with the 2024 CDC DPRP Standards, we are proposing conforming changes to align with CDC delivery modes