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Using the flat benchmarks described in Table 31 of this proposed rule, an ACO that reported a performance rate of 90.00 percent would be scored in the 10th decile, resulting in greater measure achievement points than under the hypothetical performance period benchmarks described in this example

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Increased levels of sperm DNA fragmentation and sperm aneuploidy have also been shown to increase with male tobacco use, as have decreased fertilization and implantation rates with IVF