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This ball is placed in a Japanese kiseru pipe, which is a long, typically bamboo pipe with a metal mouthpiece and metal bowl

As described in the sections below, we are proposing that a billing practitioner who is part of a Shared Saving Program ACO, or CMS Innovation Center ACO or participating in Making Care Primary or Primary Care First would already satisfy the proposed practice-level requirements for patient population-level management (see section II.G.2.c.(9) of this proposed rule), and performance measurement (see section II.G.2.c.(10) of this proposed rule) by meeting separately applicable participation requirements within the Shared Savings Programs and models

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