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(2) Supply Pack Pricing Update Interested parties previously notified CMS that they identified numerous discrepancies between the aggregated cost of some supply packs and the individual item components contained within

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providing clarity and consistency in provisions of the Shared Savings Program regulations on calculation of the ACO risk score growth cap in risk adjusting the benchmark each performance year and the regional risk score growth cap in calculating the regional component of the three-way blended benchmark update factor

This activity proposal is informed by the results of the CMS Innovation Center Million Hearts Model, which included initial atherosclerotic cardiovascular disease (ASCVD) assessment as well as cardiovascular care management, which were shown to contribute to improved identification and treatment of patients at risk for ASCVD and would expand on the work of this Model by (1) increasing flexibility in requirements, allowing more clinician specialties to participate, along with increased flexibility in risk assessment to fit the needs of attesting clinicians and their patient populations

In the following paragraphs, we discuss these proposed policies and our reasons for not changing the currently approved per response burden for improvement activities submission