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Better monitoring of the market for these newer products is needed for tracking the industrys strategy of substituting use of these products in place of tobacco product use cessation

We have used our authority under section 1899(i)(3) of the Act to establish the Shared Savings Program's two-sided payment model (see for example, 80 FR 32771 and 32772, and 83 FR 67834 through 67841) and to mitigate shared losses owed by ACOs affected by extreme and uncontrollable circumstances during PY 2017 and subsequent performance years (82 FR 60916 and 60917, 83 FR 59974 through 59977), among other uses of this authority described elsewhere in this proposed rule

For savings between 10 to 15 percent, the ACO would share in 60 percent of savings and CMS would retain the remaining 40 percent

Przemysowa 1 62-080 Tarnowo Podgrne Facebook: www.facebook.com/pulzepoland Instagram: www.instagram.com/pulzepoland Tel: +48 61 816 50 00 Windy City Cigars: A Wide Range of Tobacco Brands We are a family-owned company that has been operating in the tobacco industry since 2002