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TriNetX includes de-identified longitudinal electronic health records from over 135 million patients across 112 healthcare organizations worldwide, encompassing hospitals, primary care clinics, and specialty centers

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Comment: A few commenters recommended that CMS extend the time period in which ACOs must notify CMS of CHOWs from 30 days to 45 or 60 days, stating that it might be difficult for an ACO participant to notify an ACO of a CHOW and for the ACO to then notify CMS of the CHOW