++ Step 3(iv): Express the lesser-of-amount from Step 3(iii) as a per capita value by dividing by the total ( beneficiary person years in the population identified in Step 2 for the applicable performance year or the benchmark year
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Accordingly, CMS would only permit ACOs that are currently participating in the Shared Savings Program, that have earned shared savings in the most recent performance year for which financial reconciliation has been completed, and that have a positive prior savings adjustment at application disposition to receive prepaid shared savings, as they have the history of success that provides CMS with a more reasoned expectation that they will earn shared savings in the future
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We note that these proposed adjustments to estimated burden are due to the availability of updated data and related assumptions as identified per ICR, rather than proposed policies or statute changes in section IV.A.4