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[377] or (3) the ACO elected to participate under a one-sided model, but is determined to be experienced with performance-based risk Medicare ACO initiatives and will be automatically advanced to Level E within the BASIC track at the start of the next performance year and will remain in Level E for all subsequent performance years of the agreement period, in accordance with 425.600(h)(2)(i)
The initial patent for Repatha expires in 2028, although there are multiple other patents that could mean less-expensive biosimilar alternatives may not be available for years
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