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To address this and reduce the risk to the Trust Funds, in the CY 2025 PFS proposed rule (89 FR 61884 through 61885), we proposed to add new 425.630(g)(6) to require ACOs to repay any outstanding advance investment payments in the event that CMS terminates the ACO's Shared Savings Program participation agreement

For progressive forms, such as secondary progressive MS (SPMS) and primary progressive MS (PPMS), therapeutic options are limited compared to relapsingremitting MS (RRMS) [141]