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As such, ACOs that terminate would no longer be subject to annual reporting requirements for their spend plans once the payments are repaid to CMS

This approach would recognize that SAHS billing activity has the potential to impact an ACO's savings and loss determination for both the performance year when the SAHS billing activity occurred and future performance years for which the affected year is a benchmark year

Of the states for which the authors had data, the highest rates of outbound smuggling (least amount of net inbound smuggling) occur in New Hampshire (52.4 percent outbound smuggling), Indiana (35.6 percent), Virginia (27.6 percent), and Idaho (25.8 percent)

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