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Additionally, in new § 425.316(c)(3)(ii)(C), CMS may terminate an ACO's participation agreement for a renewing ACO or re-entering ACO if the ACO fails to meet both the quality performance standard and the alternative quality performance standard for the last performance year of the ACO's previous agreement period and this occurrence was either the second consecutive performance year of failed quality performance or the third nonconsecutive performance year of failed quality performance during the previous agreement period
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