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Her bedside manner was top-notch - she kept me company while I received my IV and made a terrible situation more bearable

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Further, IA-s only need to be implemented for a portion of the performance year in order to attest to the activity, providing additional time for the participant to meet the requirements

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However, we also noted in that rule (76 FR 67807) that we understood circumstances may change during an ACO's agreement period, and that an ACO's assigned population may vary accordingly, and if the ACO falls below 5,000 beneficiaries during the agreement period, the ACO will be subject to compliance actions (described at 425.216 and 425.218)