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We also noted that we anticipate initiating analysis of the impact of improper payments on an ACO's payment determination upon learning of improper payments originating inside the ACO that may potentially impact Shared Savings Program calculations, and may reopen the ACO's payment determination, as needed, to address program integrity concerns

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There are some fortified plant-based options for getting B12, but for the most part, you may find this important vitamin in animal-based products