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 in 425.640(e)(3), if an ACO fails to spend a majority of the prepaid shared savings they receive in a performance year, CMS may withhold future quarterly payments until the ACO spends the funding they have already received and reports this spending to CMS through an updated spend plan
File:Miniciggy size compared with ordinary From Wikimedia Commons, the free media repository Size of this preview: 960 720 pixels
Lo Giudice G, Colella G, Boschetti CE, Colella C, Tartaro G, Cirillo N
See the United States Environmental Protection Agency website
Critics of this approach emphasize its limitations in addressing the ongoing psychological stressors refugees face in daily life (16, 17)