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Additionally, we may also consider that the timing of issuing a revised initial determination could impact other program calculations, such as benchmark calculations used in determining financial performance for a performance year that has not yet been reconciled, specifically in connection with calculating or recalculating the prior savings adjustment for the ACO (if applicable), or the application of the benchmark adjustment described in section III.G.7.c.(2).(d) of this final rule

Homocysteine, B vitamins, and cognitive impairment