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Gastroenterology 156 , 708721 (2019)

Insulin resistance and blood sugar imbalance occur in the development of type 2 diabetes , and may be associated with a defect in fatty-acid metabolism in muscle and tissue lipid (fat) accumulation

We are finalizing with clarification our proposal to adjust the benchmark to account for the impact of improper payments, in the event CMS recalculates a payment determination and issues a revised initial determination for a performance year in a prior agreement period that corresponds to a benchmark year of the ACO's agreement period (emphasis added to reflect clarified text)