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The second time that an ACO's benchmark is adjusted based on the ACO's regional service area expenditures, CMS calculates the regional adjustment using either the 50 percent of the difference between the average per capita amount of expenditures for the ACO's regional service area and the average per capita amount of the ACO's rebased historical benchmark if the ACO is determined to have lower spending than the ACO's regional service area ( 425.656(e)(2)(i))

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Transverse view of the anterior thigh showing a slightly swollen lateral femoral cutaneous nerve (LFCN), especially the anterior branch

Vitamin B12 also helps maintain healthy nerve cells and aids in the formation of the protective covering of nerves, called the myelin sheath

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