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Even in cases where CMS may apply the adjustment to Shared Savings Program calculations for SAHS billing activity, for CY 2024 or subsequent calendar years, there is no expectation that it will necessarily increase or decrease overall shared savings or shared losses because the policy will be applied systematically across all ACOs in the Shared Savings Program in a method that adjusts both performance year and benchmark year expenditures for ACO assigned beneficiaries and regional and national expenditures used in benchmark calculations

Illegal drugs are defined in terms of their chemical formulas