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Currently, this adjustment to the MSR/MLR protects both CMS and the ACO from inappropriate over or underpayments, reducing the financial risk of allowing ACOs to continue to participate in the Shared Savings Program if they experience a reduction in assigned beneficiaries

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However, the statute does not specify a list of services considered to be primary care services for purposes of beneficiary assignment

(i) Burden for MVP Registration: Individuals, Groups and APM Entities We refer readers to the CY 2024 PFS final rule (88 FR 79443 and 79444) for our previously finalized burden relevant to MVP registration for clinicians participating as an individual and/or group for MVP reporting