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At the same time, as philosopher Guenther Anders pointed out in his groundbreaking works, we must recognize that we live in a society in which the threats generated by scientific development and technological innovation cannot be managed confidently, for it is now capable of exposing us to unprecedentedly large-scale and enduring environmental-pollution phenomena

Further, in response to commenters suggesting that ACO referrals be given priority by CMS or be handled through an expedited process we note that, in investigating leads that are vetted and approved by CMS to be opened as an investigation, the Unified Program Integrity Contractors (UPICs) focus investigations in an effort to establish the facts and the magnitude of the alleged fraud, waste, or abuse and take any appropriate action to protect Medicare Trust Fund dollars, unless otherwise specified by CMS

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