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As we described in the CY 2026 PFS proposed rule (90 FR 32668), under this proposed approach, we would use an alternative calculation for the benchmark-based [409] performance payment limits and loss recoupment limits, in which we would compute an ACO's total benchmark expenditures as the product of an ACO's per capita updated benchmark expenditures and the ACO's assigned beneficiary person years from the benchmark year with the lowest number of assigned beneficiaries

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