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We stated, more generally, our belief that the concern about potential for loss of participation by ACOs unwilling to progress to two-sided risk with their second agreement period is balanced against, and outweighed by, the potential for increased effectiveness from other ACOs that continue to participate and successfully manage an earlier transition to performance-based risk, and establishing a policy that we believe will further advance the program's goals

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Most medicines should be stopped at least 48 hours before any diagnostic test assessing gastric motility

The reason is biological