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As finalized with the December 2018 final rule (83 FR 67831 through 67841), for agreement periods beginning on July 1, 2019, and in subsequent years, eligible ACOs enter into an agreement period of not less than 5 years under one of two tracks of the Shared Savings Program, either the BASIC track (see 425.600(a)(4) and 425.605) or the ENHANCED track (see 425.600(a)(3) and 425.610)

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The most significant way they work together is through the protection of the dermal matrix