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To address the issue of highly fragmented care delivery to the beneficiary, CMS recognizes the need for meaningful engagement among those who deliver care and seeks to create incentives for partnerships between specialist clinicians, accountable care entities, and primary care clinicians

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In addition, to ensure consistency in how CMS is calculating a rebate when a billing and payment code's dose description changes, CMS proposes to apply a conversion factor before applying the percentage by which the rebate period CPI-U for the calendar quarter exceeds the benchmark period CPI-U to determine the inflation-adjusted payment amount