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If the amount of shared savings earned by the ACO is revised downward by CMS for any reason, the ACO will not receive a refund of any portion of the prepaid shared savings previously recouped or otherwise repaid, and any prepaid shared savings that are now outstanding due to the revision in earned shared savings must be repaid to CMS upon request

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And yet, they were still higher than relative prices from 2016 to 2020, arguably a period of unmatched growth in the number of businesses roasting coffee, businesses that were habitualized to consider an adjusted average market of $1.33 as normal