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We proposed to specify in paragraph (b) of 425.674 that for the purpose of the Shared Savings Program, improper payment includes: (1) an amount associated with a demanded overpayment determination, and (2) an amount identified in a settlement agreement or judgment, pursuant to conduct of individuals or entities performing functions or services related to an ACO's activities, less any penalties or damages

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Supplementation appears to have no beneficial effect on performance in the absence of a nutritional deficit

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