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Practitioners in ACOs are also already being held accountable for reporting and performance and outcomes on many of the Universal Foundation measures already, which are used in the Value in Primary Care MVP, and the APP Plus quality measure set would fully align the Shared Savings Program's quality performance standard with the Universal Foundation measures upon the complete implementation of the APP Plus measure set

Figure 3 In prokaryotes, there is a well-described phenomenon of negative selection leading to the removal of any unnecessary genes (Burke and Moran, in vivo in the GCF collected from T