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As we also discuss elsewhere in this section of this proposed rule, across an ACO's reconciliations where improper payments impact performance year or BY expenditures, the overall net impact of using the proposed methodology on the ACO's aggregate shared savings or shared losses across those reconciliations could be positive or negative and would depend on the circumstances of a given reopening scenario

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[300] On television, the ITV satirical puppet show Spitting Image caricatured Jagger as perpetually high throughout its run in the 1980s and 1990s