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After consideration of public comments, we are finalizing as proposed to amend § 425.605(h)(1) by adding new paragraph (v) that specifies: “For agreement periods beginning on or after January 1, 2027, the ACO has at least 5,000 assigned beneficiaries in each of the ACO's benchmark years.” With this final policy, for agreement periods beginning on or after January 1, 2027, we will exclude ACOs that fall below 5,000 assigned beneficiaries in any benchmark year from being eligible to benefit from policies at § 425.605(h) providing certain low revenue ACOs participating in the BASIC track with ( increased opportunities to share in savings

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Evening GH injection better imitates the physiological diurnal pattern of GH secretion (3) and is supposed to improve sleep in growth hormone deficiency (GHD) patients (4)