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As we explained in the CY 2026 PFS proposed rule (90 FR 32664 and 32665), after gaining 13 years of experience administering the Shared Savings Program, including lessons learned from applying the requirement at section 1899(b)(2)(D) of the Act that “[a]t a minimum, the ACO shall have at least 5,000 such beneficiaries assigned to it [

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Cycle length is typically 4 to 8 weeks, with a clinical review at the midpoint to assess response