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These concerns aligned with the concerns the Recommendation Group raised about cost measures overall, such as concerns around how cost measures impact patient outcomes

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[454 455] The policy changes to the Shared Savings Program finalized in the CY 2023 PFS final rule (87 FR 69777 through 69979) and CY 2024 PFS final rule (88 FR 79093 through 79232) are expected to grow participation in the program and increase the number of beneficiaries assigned to ACOs by up to four million in the next 10 years (that is, between 2024-2034)