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As we explained in the proposed rule (89 FR 61596, 61871 and 61872), our experience administering the Shared Savings Program leads us to determine that ACOs with prior success in the programthat is, ACOs with a record of meeting the quality performance standard, not avoiding at-risk beneficiaries, and recent success in earning shared savingsare well positioned to identify beneficiary needs and invest prepaid shared savings to improve beneficiary care and are therefore most likely to benefit from prepaid shared savings

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This commitment to excellence ensures that patients receive safe, effective, and reliable medications