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For example, if an ACO is eligible for a maximum quarterly prepaid shared savings payment of $300,000 for quarter 1 of a performance year, but only wishes to receive $250,000 for quarter 1 of a performance year, their estimated annual prepaid shared savings amount would be $1,000,000

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2006, Smith-Warner et al

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The issue has raised concerns with Makary, pediatrician groups and advocacy organizations about the potential impact on minors, ABC News reported