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Although the provisions in this proposed rule that require section 1899(i) of the Act authority are estimated to increase spending by only $60 million over 10 years, the cumulative impact of all policies (including those in this proposed rule) are estimated to result in more than $4.9 billion in greater program savings compared to a hypothetical baseline payment methodology that excludes the policies that require section 1899(i)(3) of the Act authority

We would notify the ACO of savings and losses in accordance with 425.604(f), 425.605(e), 425.606(h), 425.609(e), or 425.610(h) (as applicable)

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These policies improve the accuracy of financial calculations by which ACOs are held accountable for the cost and quality of care for their assigned beneficiary populations