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Evidence that technology has changed physician work

We note these proposed changes are not due to proposed policies discussed in section IV.A

David Mattson, a leading expert and former member of the Interagency Grizzly Bear Study Team, says bears found outside the Demographic Monitoring Area will fall into a free-fire zone that could create a death trap for dispersing grizzlies

PCM services (CPT codes 99424, 99425, 99426, and 99427 and HCPCS codes G2064 and G2065) are included in the definition of primary care services used for purposes of assignment and since FCI services are similar in nature, time, and intensity to PCM services, we believe it would be appropriate to include these services in the definition of primary care services used for purposes of assignment

For ACOs under prospective assignment, Medicare FFS beneficiaries are prospectively assigned to an ACO at the beginning of each benchmark or performance year based on the beneficiary's use of primary care services in the most recent 12 or 24 months, as applicable, for which data are available, using the assignment methodology described in 425.402 and 425.404 ( 425.400(a)(3)(i))

Sankaranarayanan R, Duffy SW, Padmakumary G, Day NE, Krishan NM