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For example, if an ACO is in the fifth year of its 5-year agreement period during which they have been receiving prepaid shared savings and is in the process of renewing for a new agreement period, CMS would ensure they have fully repaid the prepaid shared savings received from the first four performance years of their current agreement period through earned shared savings before they are approved to receive prepaid shared savings in a new agreement period

Performance: Projection opens at a moderate level, extending roughly three to four feet within the first hour and presenting a noticeable yet controlled presence

Being in close proximity to family members and others who smoke and exposure to second-hand smoke are major causes of health problems in foetuses, babies and children