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This would also reduce the amount the ACO can spend on staffing and healthcare infrastructure as an ACO may not spend more than 50 percent of the prepaid shared savings they receive on staffing and healthcare infrastructure

This paper reviews this changing pattern of tobacco and nicotine consumption and the current evidence regarding the risk of these products causing oral cancer

(7) The ACO has in place an adequate repayment mechanism in accordance with 425.204(f) that can be used to recoup outstanding prepaid shared savings

Coverage and reimbursement may vary depending on whether the patient has a tobacco-related condition or is receiving counseling as a preventive service

(iii) If ASP data and NADAC prices are not available, then the payment limit is determined according to an average of the most recently published pharmaceutical pricing data for the drug as included in the Federal Supply Schedule (FSS), as managed by the Department of Veterans Affairs per 48 CFR part 38