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CMS' decision to reopen an initial determination for a performance year is independent of a determination by CMS to reopen an initial determination for any other performance year, including in cases where multiple performance years are impacted by the same improper payments, whether within the ACO's current agreement period, or a past agreement period

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Step 8: Calculate the service level allocators for the indirect PEs based on the percentages calculated in Step 7

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Background Medicare beneficiaries' care is becoming more fragmented as they are increasingly seeing (1) more specialists and (2) specialists more often, while the number of visits with their primary care clinician remains relatively constant