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Many times there may not be much we can do about changing those medications, and if we cant B12 levels need to be considered/monitored especially if new symptoms arise

We explained that accounting for improper payments as it affects the ACO's benchmark could then result in changes to the ACO's shared savings or shared losses for a future performance year that differ in direction compared to the change in shared savings or shared losses observed with the initial reopening that affected PY expenditures