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Additionally, while unspent funds received for a performance year must be reallocated in the spend plan for the ACO's next performance year as noted at 425.640(e)(3), if an ACO fails to spend a majority of the prepaid shared savings received in a performance year, we may withhold future quarterly payments until the ACO spends the funding already received and reports this spending to CMS through an updated spend plan

by Dr Hayley Willacy, FRCGP Further reading and references Vitamin B12 deficiency in over 16s: diagnosis and management NICE guidance (March 2024) PHE