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As a result, we project at least some degree of higher program spending for increased shared savings payments (or reduced loss recoupments) in cases for which CMS decides to reopen the payment determination and issue a revised initial determination to account for the impact of improper payments

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For example, a group consisting of internists, geriatricians, family medicine practitioners, physician assistants, and nurse practitioners could be focused on providing primary care services to patients, which could be reflected as multiple specialties in Medicare Part B claims