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Supported by his appearance (as preserved), hair beginning to grey, several teeth missing, no appreciable atheroma in cornoaries or aorta

We propose to use our authority under section 1899(d)(1)(B)(ii) of the Act to adjust the benchmark to account for the impact of improper payments, in the event CMS recalculates a payment determination and issues a revised initial determination for a performance year in a prior agreement period that corresponds to a benchmark year of the ACO's current agreement period