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This approach would ensure that the value of the HEBA itself cannot exceed 5 percent of national assignable per capita expenditures expressed as a single value using the ACO's BY3 enrollment proportions, similar to the cap applied to the regional adjustment under 425.656(c)(3) and the cap applied to the prior savings adjustment under 425.658(c)(1)(ii)

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CMS is soliciting comments on the process and timing for covered entities to submit this revised data to the repository after the end of the applicable period

[190] Periodontitis serves as a prime example of a disrupted balance between the local microbiome and the host's inflammatory response, a condition known as dysbiosis