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++ The population of assignable beneficiaries in each county in the ACO's regional service area for calculating county-level expenditures

Cigarettes increase one's susceptibility to infections and impair the body's ability to mount a satisfactory immune response

There is no health benefit to dual use of e-cigarettes and cigarettes

However, because investigations into improper payments, including considering whether there is reliable evidence of fraud or similar fault, may involve varying degrees of complexity and scale, and because the application of our proposed methodology for calculating expenditures relies on information that may result from such investigations, among other sources of information, CMS may not always be able to conduct a reopening within a specific timeframe after an ACO submits a reopening request