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As discussed further in the Regulatory Impact Analysis of the CY 2026 PFS proposed rule (90 FR 32814 through 32818), we projected that the proposed change to apply an alternative loss recoupment limit for ACOs with fewer than 5,000 assigned beneficiaries in any BY, in combination with other proposed changes to the statutory payment model in the CY 2026 PFS proposed rule, as well as current policies we have adopted under the authority of section 1899(i)(3) of the Act, are expected to improve the quality and efficiency of items and services furnished under the Medicare program, and would not be expected to increase program expenditures relative to those of the statutory payment model

To no avail

Following the implementation of section 401, we estimated 500 respondents, 2,000 responses (500 respondents 4 responses/yr), 26,000 hours (2,000 responses 13 hr/response)