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Comment: Several commenters recommended that CMS refine ASM to better reflect the realities of rural healthcare delivery and recommended that CMS provide targeted support to rural practices, help rural providers develop infrastructure and care partnerships for care coordination, and limit the administrative and financial burdens associated with participation in ASM

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The model selection was based on goodness-of-fit criteria, which included the convergence criterion, the Akaike information criterion, the estimation criterion value for the maximum likelihood method, and the visual inspection of predicted versus observed and residual plots