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Competing interests The authors declare that they have no known competing financial interests or personal relationships that could have influenced the work reported in this paper

To adjust the benchmark, CMS does the following: * * * * * (v) Redetermines the HEBA scaler used in calculating the HEBA under 425.662(b)(2) to account for changes in the ACO's regional adjustment or prior savings adjustment in accordance with paragraphs (a)(9)(ii) through (iv) of this section

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