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Considerations for Timing of ACOs' Progression to Performance-Based Risk in the Shared Savings Program In the CY 2026 PFS proposed rule (see 90 FR 32650 and 32651), we explained our belief, including as described in earlier rulemaking, that financial models under which ACOs bear a degree of financial risk have potential to induce more meaningful systematic change in providers' and suppliers' behavior towards meeting the Shared Savings Program's goals, compared to one-sided models (see for example, 76 FR 67904 through 67909, 80 FR 32758 through 32760, and 83 FR 67967 through 67968)