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Regarding the steps involved in the calculation of prepaid shared savings payment amounts, ACOs that renewed to enter an agreement period beginning on January 1, 2025, and participate in prepaid shared savings starting with performance year 2026 without renewing again will be subject to the same methodology that applies to all other ACOs that participate in the payment option, consistent with proposed 425.640(f)(2) through (f)(6)

Do not inject a solution that is not completely clear

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