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This proposal would not modify the requirement at 425.110(a), which implements the statutory requirement at section 1899(b)(2)(D) of the Act that ACOs have 5,000 beneficiaries at critical points in CMS's determination of the ( ACO's eligibility to participate in the Shared Savings Program, including: at the time of application in order to be eligible for the Shared Savings Program, and at any point when an ACO elects to renew its participation in the program

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Statistical analysis was carried out by using Jamovi Software V.2.3.1 (Syndey, Australia) and R software