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As we describe elsewhere in this section of this proposed rule, a recalculation of shared savings and shared losses to account for improper payments could result in a variety of outcomes

The mechanisms behind these associations suggest that oral bacteria and their metabolites can enter the bloodstream through oral epithelial barriers or via direct interactions with the respiratory and digestive systems, thereby influencing systemic health [33,34,35]

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This approach would serve as a bridge until new applicable measures are developed that allow for creation of individual MVPs for clinicians without an MVP specific to their specialty, patient populations served, or the primary conditions treated