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We also propose certain adjustments to Shared Savings Program benchmark calculations to account for the impact of identified improper payments, in the event a performance year for which we issue a revised initial determination becomes a benchmark year of an ACO's current agreement period, and when CMS has not yet issued an initial determination for a performance year of the ACO's current agreement period (as described in section III.G.7.c.(2).(d) of this proposed rule)

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developing new, broader MVPs with a different emphasis from current MVPs focused on a single specialty or clinical condition

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