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As I have said time and time again, we know that Big Tobacco will try anything to addict our children

We first adopted a reopening policy in the November 2011 final rule, where we finalized at 425.314(a)(4) a provision reserving the right for CMS to reopen the initial determination and issue a revised initial determination, if as a result of any inspection, evaluation, or audit, it is determined that the amount of shared savings due to the ACO or amount of shared losses owed by the ACO has been calculated in error (see 76 FR 67957 through 67958, and 67982)

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