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To address these issues, we proposed technical changes to the regulation text at 425.605(a)(1)(ii)(C), 425.610(a)(2)(ii)(C), and 425.655(d)(2) to align the language describing the calculation of the weights that will be used to compute aggregate risk score growth across the three provisions and to clarify that the weight applied to the growth in ACO and regional risk scores for each Medicare enrollment type, respectively, would be equal to the product of the ACO's historical benchmark expenditures, adjusted in accordance with 425.652(a)(8), for that enrollment type and the ACO's performance year assigned beneficiary person years for that enrollment type

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However, adverse effects are rare when used at the recommended dosage