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An ACO serving such communities could be harmed financially if they are successful at improving access to high-value care during the performance period

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(2) Withholding and Termination In order to ensure orderly administration of the Shared Savings Program, including protection of the Medicare Trust Funds, we intend to monitor the performance of ACOs receiving prepaid shared savings and propose that we may withhold or terminate quarterly prepaid shared savings payments under a variety of specified circumstances