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We are concerned that reopening payment determinations for minor issues impacting calculations for one or several performance years of an ACO's earlier agreement period could in turn disrupt the administrative finality of calculations for multiple performances years, in one or more subsequent agreement period, if the impacted year(s) become benchmark year(s) used in resetting the ACO's historical benchmark

Sections 1899 and 1115A of the Act (42 U.S.C

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Related tools, such as the Nicotine Dependence Syndrome Scale and the National Epidemiologic Survey on Alcohol and Related Conditions, can support diagnosis