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Advance care planning: This is a voluntary, face-to-face discussion with the patient about their health care wishes should they become unable to make their own medical decisions

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In our response to these comments, we stated that given that benchmarks are specific to each collection type and that we proposed to establish Medicare CQMs as a new collection type for only Shared Savings Program ACOs, only ACO data will be available to benchmark Medicare CQMs

[521] If, based on an initial analysis, we estimate that the ACO's savings, though higher once adjusted to remove improper payments from performance year expenditure calculations, would still fall below the minimum savings rate, it would not be necessary to reopen an ACO's payment determination because the ACO would still not qualify for a shared savings payment