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Financially successful ACOs are likely to have already made significant investments in staffing and healthcare infrastructure, as they are necessary for the functioning of an ACO, and we intend to encourage ACOs receiving prepaid shared savings to invest in direct beneficiary services that are not already offered by the ACO

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For MIPS quality measures that do not meet case minimum and reporting volumes required for benchmarking after being in the program for 2 consecutive CY performance periods, we noted that we will factor in other considerations (such as, but not limited to: The robustness of the measure

doi: 10.1016/j.ajp.2023.103677, 7