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As we also discuss elsewhere in this section of this proposed rule, across an ACO's reconciliations where improper payments impact performance year or BY expenditures, the overall net impact of using the proposed methodology on the ACO's aggregate shared savings or shared losses across those reconciliations could be positive or negative and would depend on the circumstances of a given reopening scenario

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The exhale is luxuriously smooth, with the rich, buttery flavor lingering on your palate, leaving you craving just one more hit