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Response: We agree with commenters that these services are complementary to APCM services, and do not represent duplication of services as long as time and effort involved in furnishing these services are not counted more than once, requirements to bill the other services are met, and the services are medically reasonable and necessary

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Accordingly, the per capita savings for each performance year would be determined as the quotient of the ACO's total updated benchmark expenditures minus total performance year expenditures divided by performance year assigned beneficiary person years

Stutterd CA, Francis D, McGillivray G, Lockhart PJ, Leventer RJ