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[398] As evidenced by this participation data, we continue to see participation among safety net providers increase as CMS has finalized changes to policies around the progression to performance-based risk in the Shared Savings Program, including requirements for ACOs to ( transition more rapidly to higher levels of risk and potential reward

In the CY 2025 PFS final rule, we stated that we believe this change would provide RHCs with additional flexibility to provide outpatient specialty services on-site or hire additional providers with specialized expertise to meet the needs of their community (89 FR 98518 and 98519)

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We agree that TIN-level reporting may be less burdensome to clinicians and could better capture team-based activities and investments in infrastructure