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The epidemiological synthesis relies mainly on data from highincome settings, potentially underrepresenting regionspecific patterns of risk and response

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Based on data for 456 ACOs that participated in the Shared Savings Program in PY 2023, decreasing the HEBA eligibility threshold to 15 percent will increase the number of ACOs estimated to receive a HEBA by 60 percent and, like our proposed 20 percent threshold, will continue to ensure that ACOs with an above-average percent of dually eligible or LIS enrolled beneficiaries are eligible for a HEBA