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Skin turnover takes time, and psoriatic plaques are thickexpect gradual improvement rather than rapid clearing

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We proposed a new 425.640(f) to provide an ACO that CMS determines meets the eligibility criteria described in section III.G.5.b of this final rule with a prepaid shared savings payment for each quarter of an agreement period that they are determined to be eligible for prepaid shared savings equal to the maximum quarterly payment amount calculated pursuant to the methodology outlined in 425.640(f)(2) (as further explained elsewhere in this section), unless the ACO elects to receive a lesser amount as described in 425.640(f)(6) (as further explained in section III.G.5.d