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We are also finalizing paragraph (a) of 425.640, as proposed, to describe the purpose of the payment option: prepaid shared savings provide an additional cash flow option to ACOs with a history of earning shared savings that will encourage their investment in activities that reduce costs for the Medicare program and beneficiaries and improve the quality of care provided to their assigned beneficiaries

6d, e), suggesting an increase in the proliferation of oligodendroglial committed progenitors

A., Greenamyre, J