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While prepaid shared savings would be helpful in providing successful ACOs with additional cash flow that would encourage their investment in activities that could potentially reduce ACOs' costs and improve the quality of care that ACOs provide to their beneficiaries, overpaying ACOs might result in a level of outstanding debt for some ACOs that could disrupt their operations and potentially their participation in the Shared Savings Program as well as generate unnecessary financial risk for CMS

About two weeks later he called and told my agent,I would like Mary to come over and meet Donald Sutherland. I thought, Oh, my God, this is going to be the toughest thing in my life, because I know that he is going to be looking at me with a magnifying glass to see whether or not I look right with Donald. I couldnt stand it, because I had no sense of control

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