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In addition, in order to minimize the risk of pelvic prolapses, Cesarean section should be considered the first choice when vaginal delivery without episiotomy cannot be anticipated [92]

We proposed to amend this provision for greater consistency with the proposed approach to determining participation options and new 425.600(h)(1)(iii) and (h)(2), under which for agreement periods beginning on or after January 1, 2027, an ACO determined to be inexperienced with performance-based risk Medicare ACO initiatives that is not eligible to enter the BASIC track's glide path, or an ACO that is determined to be experienced with performance-based risk Medicare ACO initiatives may enter either the BASIC track Level E for all performance years of the agreement period (among other participation options)

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