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To calculate a given maximum quarterly prepaid shared savings payment, we propose under new 425.640(f)(4), to multiply one-fourth of the pro-rated, adjusted, and capped prepaid shared savings multiplier (to account for four quarterly payments) by the ACO's assigned beneficiary person years for the latest available assignment list for a given performance year within the current agreement period

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We refer to that rule as the December 2022 Overpayment Proposed Rule. In the December 2022 Overpayment Proposed Rule, we proposed to remove the existing reasonable diligence standard and adopt by reference the False Claims Act definition of knowing and knowingly as set forth at 31 U.S.C

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Some variation was, however, seen among young adults