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Comment: A couple of commenters suggested that CMS also consider a 6-month grace period to allow an ACO to be able to reach the 5,000-assigned beneficiary minimum

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doi: 10.1186/s40880-017-0184-9 249 ChandelNSAvizonisDReczekCRWeinbergSEMenzSNeuhausRet al

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However, prolonged use of a year or more combined with reduced dietary intake could gradually deplete these stores