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Since the publication of the CY 2022 PFS final rule, we have given additional consideration to the comments discussed above

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Specifically, we proposed the following, which are discussed in more detail in sections (b) and (c) below: Sunset the requirement after January 1, 2025, at 425.110(b)(2) that CMS terminates the participation agreement and the ACO is not eligible to share in savings for that performance year if the ACO's assigned population is not at least 5,000 by the end of the performance year specified by CMS in its request for a Corrective Action Plan (CAP)

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Caking is the formation of permanent clumps due to the stickiness of particles which eventually can result in a loss of functionality and lowered quality [11, 12]