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In a discussion in the CY 2026 PFS proposed rule (90 FR 32652 through 32655), we described more recent trends in ACO participation in the Shared Savings Program (including as a result of changes to program requirements through rulemaking) and ACO financial performance, which inform our consideration of our current policies on ACOs' progression to performance-based risk under the Shared Savings Program

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Obesity is defined as BMI at or above the 95th percentile for age and sex