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Healthcare Infrastructure: Examples could include, but are not limited to, investments in or improvements to existing case or practice management systems, clinical data registries, electronic quality reporting, health information exchange participation, certified electronic health record technology (CEHRT), health IT to support behavioral health or dental services, IT-enabled screening tools, closed-loop referral tools, audiovisual interpreter technology, or practice physical accessibility improvements

(5) Use of ACO's health equity adjusted quality performance score

'No court at any level has ever struck down a policy prohibiting the sale of flavored tobacco products on federal pre-emption grounds, but that doesn't mean the Supreme Court couldn't decide otherwise and that ruling would apply everywhere.' The 'no' campaign said in a statement: 'This is a disappointment to the millions of adults over the age of 21 who are now prohibited from purchasing these products as well as other FDA-authorized harm reduction alternatives.' It comes after pro-marijuana campaigners achieved mixed results on election night with voters in Arkansas and North and South Dakota set to reject ballots

As a general rule, we propose to specify in paragraph (a) of 425.674, that upon the reopening of an initial determination pursuant to 425.315(a)(4), CMS will use the methodology set forth in 425.674 to account for the impact of improper payments when: (1) determining savings or losses for the relevant performance year in accordance with 425.315 in order to issue a revised initial determination, and (2) adjusting the benchmark by recalculating benchmark year expenditures in the event that we recalculate a payment determination and issue a revised initial determination for the corresponding performance year in a prior agreement period (as discussed in section III.G.7.c.(2).(d) of this proposed rule)

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