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We note that in prior rulemaking, for example, in the CY 2013 PFS final rule, we stated, we further consider[ed] how advanced primary care practices can fit within a fee-for-service model (77 FR 68987), and in the CY 2015 PFS final rule, we stated our commitment to supporting advanced primary care, including the recognition of care management as one of the critical components of primary care that contributes to better health for individuals and reduced expenditure growth (79 FR 67715)

First, longitudinal studies are needed to evaluate temporal mucosal changes over a substantive period, the incidence of premalignant conditions and long-term carcinogenic outcomes

There [are studies showing] that nicotine is a stimulant and can boost cognitive functioning

The proposed policies for the calculation, spending and recoupment of prepaid shared savings allow for up to five years for ACOs to receive, spend and repay the funding through earned shared savings