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At this time, there is no evidence of system damage or PHI compromise

"Page 2: National and provincial/territorial tobacco sales data 2019"

Smokeless tobacco can cause certain cancers, including oral cancer

(a) * * * (8) Adjusts the historical benchmark, if applicable: (i) For agreement periods beginning on January 1, 2024, except as provided in paragraph (a)(8)(i)(C) of this section, CMS adjusts the historical benchmark based on the ACO's regional service area expenditures (as specified under 425.656), or for savings generated by the ACO, if any, in the 3 most recent years prior to the start of the agreement period (as specified under 425.658)