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++ Under 425.652(a)(8)(v), if an ACO is eligible to receive a prior savings adjustment and the regional adjustment, expressed as a single value as described in 425.656(d), is negative or zero, the ACO will receive an adjustment to its benchmark equal to the prior savings adjustment

Rao DN, Ganesh B, Rao RS, Desai PB

In analyzing our claims data at the beginning of CY 2024, we found data indicating that the majority of claims paid to OTPs have an OUD diagnosis code appended, meaning that only a small number of OTPs do not append an OUD diagnosis code to claims

(3) Recalculation of the prepaid shared savings multiplier during an agreement period