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Additionally, a cyberattack could contribute to unpredictable changes to utilization and spending that may have an impact on expenditures for the applicable performance year beyond the ACO's control

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Oxidation is everywhere and is responsible for the degrading and break down of most things in our world

* * * * * (i) * * * (2) * * * (ii) For performance year 2025 and subsequent performance years, for an ACO as defined at 425.20 that is determined to be affected by an extreme and uncontrollable circumstance due to a cyberattack, including ransomware/malware, for any month of the performance year that is affected, CMS considers 100 percent of the ACO's assigned beneficiaries to reside in an affected area

Javitch JA, DAmato RJ, Strittmatter SM, Snyder SH