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The open-access paper, Assessment of mortality disparities by wealth relative to other measures of socioeconomic status among us adults, is published in Jama Network Open and available here

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If the amount of shared savings earned by the ACO is revised downward by CMS for any reason, we propose that the ACO would 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