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We note that outpatient/office E/M services are included in 425.400(c) and that nephrology is one of the primary specialty designations under 425.402(c) so we anticipate that, if this proposal is finalized, most, if not all, beneficiaries who voluntarily align to a physician that participates in a Shared Savings Program ACO and meet the KCC alignment criteria would be claims-based align to the KCC model, assuming there is a determination by the Secretary that waiver of the requirement in section 1899(c)(2)(B) of the Act is necessary solely for purposes of testing the model

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Such methodology may include, but is not limited to, the use of invoice-based pricing

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(2) the ACO's spend plan

Some of these medications provide nicotine to help you slowly reduce the nicotine level in your body when you quit