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Our team has found that stacking creates compounding benefits, but it also increases the complexity of tracking which compound drives which outcome

Vitamin B12 injections had been stopped for the patient with no discernible indications but the person with MS continued to have injections as she had become dependant on them

Comment: A few commenters, while supportive of this policy, recommended CMS consider reducing the 5,000-assigned beneficiary requirement in all benchmark years and performance years to encourage greater participation, similar to ACO REACH