Professionally supervised weight management programs can help patients achieve a healthier BMI through evidence-based strategies, which may include medical nutrition therapy, behavioral counseling, and, in some cases, bariatric surgery
For purposes of the discussion within this section of this proposed rule, we refer to the former as improper payments originating inside the ACO, and the latter as improper payments originating outside the ACO

One of the top-selling roll-your-own tobacco brands in the US, with 90+ years of name recognition Turkish and domestic blend at a value price pointa category that historically anchors retail RYO sales Included rolling papers (32 per 0.65oz pouch) simplify customer purchases and reduce checkout friction Ever-Fresh resealable packaging preserves moisture and extends shelf life on your retail shelves Two size formats cover both single-serve and bulk-value buyers in the same brand family Owned by Scandinavian Tobacco Group, signaling supply stability and consistent product quality Cross-sells naturally with rolling papers, filters, tubes, lighters, and other RYO accessories Related RYO Brands Retailers stocking Bugler often pair it with American Spirit Rolling Tobacco at the premium tier and other pipe and rolling tobacco brands for full category coverage

Under proposed 425.652(a)(8)(ii), an ACO would receive the highest of the positive adjustments for which it is eligible, either the regional adjustment, prior savings adjustment, or health equity benchmark adjustment