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As described in the CY 2026 PFS proposed rule (90 FR 32669), an ACO with fewer than 5,000 assigned beneficiaries in one or both of benchmark years 1 and 2 could experience variability in benchmark calculations which could cause shared savings payments or shared losses owed to be based on normal expenditure fluctuations, rather than reflect actual program performance, because a small number of beneficiaries either with unusually high or unusually low expenditures could substantially affect the variability of the benchmark calculations

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Mast cell activation syndromes: definition and classification

Enzymes in coconut water may aid digestion, indirectly reducing undigested substrates that feed yeast