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That is, CMS would use the most updated price information reported by manufacturers to compare whether 106 percent of WAC or 106 percent of ASP is less, and would use the lower value for the specified amount

In contrast, we determined that it would also be appropriate to exclude a year for which the ACO was not reconciled when calculating the proration factor

requirements for periodic review

An increase in median final scores will cause many of those clinicians who have a minor negative adjustment to meet or exceed the performance threshold and therefore be removed from the population of clinicians with a negative adjustment