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(iv) Determining national per capita expenditures for Parts A and B services under the original Medicare fee-for-service program for assignable beneficiaries for purposes of capping the regional adjustment to the ACO's historical benchmark according to 425.601(a)(8)(ii)(C) and 425.656(c)(3), capping the prior savings adjustment according to 425.658(c)(1)(ii), capping the prepaid shared savings multiplier according to 425.640(f)(2)(v), and calculating the HEBA scaler according to 425.662(b)(2)

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As part of our holistic review of how best to update our data and offer interested parties additional information that addresses some of the concerns raised, we have recently improved our current suite of public use files (PUFs) by including a new file that shows estimated specialty payment impacts at a more granular level, specifically by showing ranges of impact for practitioners within a specialty

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We note that our analysis of the Medicare cost report data over time shows the general trends in these cost weights (particularly for the Total Compensation and Pharmaceuticals cost weights) began after 2017 with about half of the cost weight changes ( occurring between 2017 and 2019