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Baudouin, C., Cochener, B., Pisella, P

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By no longer requiring ACOs to enter the program with at least 5,000 assigned beneficiaries in BY1 and BY2 the program will at least in theory be open to ACOs with very low assignment in the first two benchmark years, and thus the alternative cap will act as a safeguard against the earned performance payment or losses owed based on random variation for such outlier ACOs even if the actual number of ACOs that reach or exceed the cap remains limited in practice