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The first time that an ACO's benchmark is adjusted based on the ACO's regional service area expenditures, CMS calculates the regional adjustment using either 35 percent of the difference between the average per capita amount of expenditures for the ACO's regional service area and the average per capita amount of the ACO's initial or rebased historical benchmark, if the ACO is determined to have lower spending than the ACO's regional service area ( 425.656(e)(1)(i))

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[11] Half of these were exported to more than 20 countries worldwide including Armenia, Czech Republic, Egypt, Georgia, Israel, Japan, Lithuania, Moldova, Montenegro, South Korea and others

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10 Third, critics argue that it could be that people who smoke do not actually choose future consumption