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As discussed in section III.G.7.c of this proposed rule, CMS may reopen an initial determination or a final agency determination and issue a revised initial determination at any time in the case of fraud or similar fault, and not later than 4 years after the date of the notification to the ACO of the initial determination of savings or losses for the relevant performance year for good cause ( 425.315)

To help us ensure these accountable entities reduce fragmentation and provide patients with the highest value care, we seek input on the following questions: (15) Are there model design features not discussed here that would incentivize primary care and specialty care providers to improve how beneficiaries experience care coordination

This spirit of organizing for a common goal is embodied by the Ruby Valley Strategic Alliance

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