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If an ACO fails to reallocate prepaid shared savings it received by a deadline specified by CMS, the ACO must repay all prepaid shared savings it received and may be subject to compliance action ( as specified in 425.216 and 425.218

and (2) the cost improvement score, as determined under 414.1380(b)(2)(iv) ( 414.1380(b)(2)(iii))

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We interpret the findings of the Million Hearts model to be both reflective of and perhaps augmenting an evolution in clinical practice toward quantitative ASCVD risk assessment

Figure 7 shows the distribution of final scores for solo practitioners as a box plot

Given that the proposed approach, if finalized, would be the initial use of improper payment amounts in Shared Savings Program calculation, we note our intent to monitor for the impact of appeals on the amounts of improper payments that may be used in reopenings under the Shared Savings Program