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However, as prepaid shared savings are only available to ACOs that are currently successfully participating in the Shared Savings Program, we intend to place restrictions on the amount of total annual prepaid shared savings that can be spent on each category of spending

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At this time, CMS is not proposing to establish a policy on treatment of MA units in the calculation of Part B inflation rebates due to operational considerations, but may establish policy on this issue in future rulemaking

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