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--For aggregate improper payment amounts that are not linked to specific claims or line items, we would calculate the amount attributable to the population identified in Step 2 by applying a proration factor to the aggregate improper payment amount identified for that provider or supplier

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We are proposing to add a new 425.640(g)(1) to recoup prepaid shared savings from earned shared savings, as defined in 425.20, in each performance year

This approach would require that covered entities submit certain data elements from 340B-identified Part D claims to the repository