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This proposal would allow an ACO additional flexibility to determine its best payment and participation options, making it easier for an ACO receiving advance investment payments to continue their participation in the Shared Savings Program long-term

We propose to use FSS data when ASP and NADAC data are not available because FSS data is one of the few existing options for drug pricing that includes a wide variety of drug formulations, including both self-administered drugs typically dispensed through retail community pharmacies and drugs administered incident to a physician's service

Adding these services on a provisional basis will allow additional time for the development of evidence of clinical benefit when these services are furnished via telehealth for CMS to consider when evaluating these services for potential permanent addition to the Medicare Telehealth Services List

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