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Specifically, beginning with performance year 2025 and continuing in subsequent performance years, we proposed to revise the definition to require, in (1)(ii)(B) of the definition, at least one primary care service with a date of service during the applicable performance year from an ACO professional who is a primary care physician or who has one of the specialty designations included in 425.402(c), or who is a physician assistant, nurse practitioner, or clinical nurse specialist. We would redesignate the existing (1)(ii) as (1)(ii)(A)

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doi: 10.1016/j.ahj.2008.09.004