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Of that 20 percent of ACOs participating in performance year 2023 that were estimated to have a proportion of assigned beneficiaries who were enrolled in the Medicare Part D LIS or dually eligible for Medicare and Medicaid equal to or greater than 20 percent, only about one quarter of such ACOs were estimated to not already be eligible for a higher benchmark adjustment from either a positive regional adjustment or a prior savings adjustment

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The effect of cigarette smoking on human sperm creatine kinase activity: as an ATP buffering system in sperm