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The first time that an ACO's benchmark is adjusted based on the ACO's regional service area expenditures, CMS calculates the regional adjustment using either 35 percent of the difference between the average per capita amount of expenditures for the ACO's regional service area and the average per capita amount of the ACO's initial or rebased historical benchmark, if the ACO is determined to have lower spending than the ACO's regional service area ( 425.656(e)(1)(i))

The ability to buy or pick up discounted GLP-1s at outlets like Walmart, Costco, Sams Club, and CVS could make GLP-1s more affordable for some people who dont have insurance coverage, says Sarah Ackah, MD, MPH, an endocrinologist also at the Ohio State University Wexner Medical Center

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