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Comment: A few commenters supported the proposed Improvement Activity 2 (IA-2) requiring ASM participants to enter a CCA with PCPs with three of the five following areas including data sharing, co-management, transitions in care planning, closed loop connections and care coordination integration and offered further recommendations

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In addition, section 1102(b) of the Act requires us to prepare an RIA if a rule may have a significant impact on the operations of a substantial number of small rural hospitals

Healthcare providers should consider this limited evidence base when making treatment decisions and should discuss these limitations with patients

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