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( 2 ) CMS calculates the proportions specified in paragraph (b)(4)(iv)(A)( 1 )( ii ) of this section as follows: ( i ) For performance year 2023, the proportion of the ACO's assigned beneficiaries who are enrolled in the Medicare Part D LIS or are dually eligible for Medicare and Medicaid divided by the total number of the ACO's assigned beneficiaries' person years

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Within an hour my shoulder felt as if it had been punched hard, and remained extremely sore for 36 hours

Yet, this combo is best used under medical guidance