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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

of this proposed rule): ++ Propose to require Shared Savings Program ACOs to report the APP Plus quality measure set (section III.G.4.b.(2)(a) of this proposed rule)

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of this proposed rule for the factors affecting the proposed changes and adjustments for each quality performance collection type

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The note must support that at least 3 minutes but no more than 10 minutes of face-to-face counseling was provided