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One commenter expressed their belief that accounting for the impact of certain improper payments in performance year and benchmark expenditures, among other proposed changes to Shared Savings Program policies described in the CY 2025 PFS proposed rule, will help increase participation in ACOs and enable ACOs to focus more on underserved populations, but did not offer a detailed explanation of how this could occur

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Fournier T, Riches DW, Winston BW et al (1995) Divergence in macrophage insulin-like growth factor-I (IGF-I) synthesis induced by TNF-alpha and prostaglandin E2

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