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(4) Calculation of total Medicare Parts A and B fee-for-service revenue of ACO participants and total Medicare Parts A and B fee-for-service expenditures for the ACO's assigned beneficiaries for purposes of identifying whether an ACO is a high revenue ACO or low revenue ACO, as defined under 425.20, determining an ACO's eligibility to receive advance investment payments according to 425.630, and determining whether an ACO qualifies for a shared savings payment under 425.605(h)

[221 222 223 224] Based on the literature, this threshold serves as a take action point in managing diabetes and has been used in previous studies to indicate poor glycemic control

NIH supported the development of PROMIS, and in 2018 PROMIS was made available to the public through a platform known as HealthMeasures ( www.healthmeasures.net )