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We are finalizing, with a minor modification for consistency and clarity, our proposal to specify under new paragraph (l)(3) of 425.610 provisions for how CMS determines whether to apply an alternative performance payment limit or loss recoupment limit if an ACO has fewer than 5,000 assigned beneficiaries in BY1, BY2, or BY3, in conducting financial reconciliation for each performance year, for agreement periods beginning on or after January 1, 2027

Proper dosing, consistent administration, and adequate duration all determine success

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