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This is mentioned in an interview with Bobby Stoker

Conditions like cervical cancer are more common among female smokers

(iv) CMS determines that the ACO is not expected to earn shared savings in a performance year during the agreement period in which the ACO received prepaid shared savings based on a rolling 12-month window of beneficiary claims data or year to date beneficiary claims data

We refer readers to 414.1400(d), the CY 2017 Quality Payment Program final rule (81 FR 77386), the CY 2018 Quality Payment Program final rule (82 FR 53818 and 53819), the CY 2019 PFS final rule (83 FR 59907 and 59908), and the CY 2022 PFS final rule (86 FR 65538 and 65539) for previously finalized standards and criteria for CMS-approved survey vendors

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