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The purpose of taking the lesser of two values in this step is to ensure that the improper payment amount that we attribute to a given population cannot be greater than the total amount of payments for the providers or suppliers at issue that was included in the original expenditure calculation for that population
Importantly, inhaled volumes are concerning because they deliver high amounts of hazardous chemicals/session compared to cigarettes
Under Shared Savings Program policies, all ACOs participating in a two-sided model can select a symmetrical MSR and MLR which applies for the duration of its agreement ( period ( 425.605(b)(2)
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