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Interested parties noted that over 22,000 PTs left the workforce in 2021

An RHC or FQHC may offer such specialty services and behavioral health services to its patients in addition to the primary care services it already provides

For this reason, the facility PE RVUs are generally lower than the nonfacility PE RVUs

However, this policy would have the benefit of reducing potential costs generated by selective reopening requests under the reopening proposal, because it would prevent extreme cases of SAHS billing activity from injecting variation in the distribution of ACO shared savings and loss calculations which could lead to an elevated number of selective reopening requests from ACOs predicting that reopening would improve their financial outcome

Therefore, we estimate that the implementation of the proposals made in this proposed rule would not be greater than those that would result under the statutory payment model, consistent with the requirements of section 1899(i)(3)(B) of the Act