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ACOs that initially elect to remain in Level A of the BASIC track for all 5 performance years for their first agreement period under the BASIC track have the option to subsequently elect to transition to performance-based risk during this agreement period in accordance with 425.226(a)(2)(i) and 425.600(a)(4)(i)(C)( 3 )( iii ), and (a)(4)(i)(C)( 4 ) to ( 6 )

not only is it illegal, but product quality and sterility would be uncertain

Both strategies are proving far more effective than single-target GLP-1 agonism