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We explained that an approach of correcting even very minor errors might result in significant operational burdens for ACOs and CMS, including multiple financial reconciliation re-runs and off-cycle payment/recoupment activities that could have the potential for significant and unintended operational consequences, and could jeopardize the certainty of performance results for both ACOs and CMS

However, this same issue has not happened in the UK or the EU due to the extensive regulatory guidelines that have been in place since 2016

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That trend reflects an even greater interest than that seen when e-cigarettes were first introduced in the Japanese market, the researchers said

As a boy, O'Toole was terrified of their "horrible" sexlessness