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For example, if CMS identifies one or more codes with SAHS billing activity in CY 2025 that warrant adjustment, we would exclude payments for those codes for both calculations where CY 2025 is the performance year and in calculations where CY 2025 is a benchmark year for ACOs in agreement periods beginning in 2026, 2027, and 2028

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However, damage to this barriersometimes referred to as intestinal permeability or leaky gutcan allow inflammatory compounds such as bacterial endotoxins to enter the bloodstream

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