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CMS will demand repayment of any unspent prepaid shared savings, as well as any outstanding balance of prepaid shared savings, at the end of each agreement period in which an ACO receives prepaid shared savings, as noted in the new 425.640(e)(3) and (g)(3)

167,171,172 Management strategies focus on tight glycemic control to prevent further nerve damage, symptomatic treatment with analgesics for pain management, physical therapy to maintain muscle strength and prevent contractures, and surgical interventions for entrapment neuropathies when necessary

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Crit Rev Biotechnol 38:335350 DANIEL RM, DINES M, PETACH HH (1996) The denaturation and degradation of stable enzymes at high temperatures

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