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These ACOs will still have four out of five performance years available to develop experience receiving, spending, and complying with program requirements related to prepaid shared savings, and giving these ACOs a one-time exception to participate with a slightly shorter timeline would not negatively impact our obligation under section 1899(i)(3)(B) of the Act to ensure that this payment option does not negatively impact program expenditures

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[DOI] [PubMed] [Google Scholar] 27.Arai K., Uchiyama T., Okubo Y., Tsuboi R., Oka K., Hirano T