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Kennedy Jr, the secretary of the Department of Health and Human Services (HHS) who said he is a big fan of peptides and asserted he would work to overturn the restrictions imposed by former president Joe Biden

For the second and each subsequent performance year during the term of the current agreement period, the ACO's prepaid shared savings multiplier will be recalculated due to redetermining the proration factor for the addition and removal of ACO participants or ACO providers/suppliers in accordance with 425.118(b), for a change to the ACO's beneficiary assignment methodology selection under 425.226(a)(1), for a change to the beneficiary assignment methodology specified in subpart E of this part, and for changes in per capita shared savings or losses for the performance years that constitute BY1 or BY2 and that are used in the calculation of the prepaid shared savings multiplier as a result of issuance of a revised initial determination under 425.315

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