is chewing tobacco worse than dip Nicotiana tabacum: From a Beneficial Plant to Harmful Products—A Comprehensive Review of Smokeless and Its Adverse Health Effects Is Tobacco-Free Chew Safe? The

An ACO may not use prepaid shared savings for any expense other than those allowed under paragraph (e)(1) of this section

Many people trying to give up smoking believe that smokeless tobacco, aka dipping/chewing tobacco, is less toxic and less dangerous

Scores equal to the defined performance threshold receive a neutral (0 percent) payment adjustment

A reconciliation of the rebate amount may result in an increase, decrease, or no change to the rebate amount, compared to the Rebate Report for an applicable calendar quarter (see proposed 427.501(d)(3))

MPOWER: A Policy Package to Reverse the Tobacco Epidemic (WHO, Geneva, 2008)

The ACO must have received a shared savings payment for the most recent performance year that: (A) Occurred prior to the agreement period for which the ACO has applied to receive prepaid shared savings