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and (c) digestive system (includes esophagus, pancreas, stomach, colon, rectum, anus, liver and bile ducts)

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Technology and prognostic predicaments

As reflected in the discussions within this section of this proposed rule, the process for analyzing an ACO's reopening request, reaching a decision on whether to reopen the initial determination, recalculating the ACO's payment determination, and issuing a revised initial determination, may occur over a period of months or potentially years, and may have impacts on future agreement periods