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More generally, we explained that although we continued to believe there are stronger incentives for increased efficiency when ACOs are in a two-sided risk track, ACOs had continued to report that they were constrained by the participation options finalized with the December 2018 final rule, and needed more time to invest in infrastructure and redesigned care processes for high quality and efficient healthcare service delivery before transitioning to performance-based risk

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Don’t fear the thick, jiggly layer of gelatin that forms on your broth once it cools—this is a sign that you’ve extracted loads of beneficial collagen from the bones