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While we included an RFI on the topic in CY 2024 PFS rulemaking, we are concerned that ACOs did not have enough detailed information to appropriately weigh the tradeoffs associated with a higher risk/reward option than the current ENHANCED track, and that the additional information we have generated since then will allow ACOs and other interested parties to provide more forthright and helpful feedback

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We also highlight potential issues and challenges encountered in practical applications, including the determination of multi-factorial weightings, requirements for data quality and quantity, establishment of unified predictive indicators and standards, enhancement of model generalizability, and interpretability of prediction outcomes