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(b) Considerations for Reopening a Payment Determination To Account for Improper Payments In section III.G.7.c.(2).(b) of the CY 2025 PFS proposed rule (89 FR 61895 through 61898), we described factors CMS may consider to inform our decision of whether to reopen an initial determination of an ACO's financial performance pursuant to 425.315(a)(1)(i) or (ii) to account for the impact of improper payments that affect the determination of whether an ACO is eligible for shared savings or liable for shared losses, and the amount of shared savings due to the ACO or the amount of shared losses owed by the ACO

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Peptides build effects over time, and inconsistency undermines results