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After considering the comments on our CY 2022 proposals, we agreed with commenters that the use of a multi-year transition would help smooth out the changes in payment resulting from the clinical labor pricing update, avoiding potentially disruptive changes in payment for affected interested parties, and promoting payment stability from year-to-year

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Oral nicotine pouches have spiked in popularity over the last several years, with unit sales increasing by six-fold between 2019 and 2022 and manufacturers building on marketing methods used by e-cigarette companies to target young people including through rewards programs

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For ACOs under prospective assignment, assignment is updated quarterly to exclude any prospectively assigned beneficiaries that meet the exclusion criteria under 425.401(b) ( 425.401(b))