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Further, we propose refinements to advance investment payment policies to allow ACOs receiving advance investment payments to voluntarily terminate from the payment option while remaining in the Shared Savings Program, and to specify that if CMS terminates an ACO's participation agreement, the ACO must repay any outstanding advance investment payments it received

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However, population groups underrepresented in the biomedical workforce face many barriers to educational opportunities and, in turn, full and equitable participation in health care professions, including physicians, physician-scientists, and nurses (29)