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This commenter stated that these restrictions may discourage participation from ACOs that would otherwise qualify under the revised threshold. The commenter indicated that capping shared savings reduces the potential return on investment, which may lead some ACOsparticularly those without large beneficiary pools or financial reservesto forgo participation altogether, and that this would be counterproductive to the agency's stated goal of broadening Shared Savings Program participation

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10.1016/j.semcdb.2018.09.003 156 YangZ.XuX.GuC.LiJ.WuQ.YeC.et al (2020)