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As specified, CMS determines aggregate growth in regional prospective HCC and demographic risk scores by calculating growth in prospective HCC and demographic risk scores between BY3 and the performance year for each Medicare enrollment type, where growth in an ACO's regional risk score by enrollment type is expressed as the ratio of the performance year regional risk score for a Medicare enrollment type to the BY3 regional risk score for that enrollment type
The regulations at 425.605(a)(1)(ii)(C) and 425.610(a)(2)(ii)(C) provide that we will use the ACO's historical benchmark expenditures in calculating the weights used to cap ACO risk score growth
The criteria we used to define attribution-eligible beneficiary were aligned with the attribution ( methodologies and rules for our then-contemporaneous Advanced APMs
And some damage may never heal conditions like COPD and pulmonary fibrosis are irreversible
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