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Additionally, we noted that under existing 425.314, ACOs would be required to retain and provide CMS with access to adequate books, contracts, records, and other evidence to ensure that we have the information necessary to conduct appropriate monitoring and oversight of ACOs' use of prepaid shared savings (for example, invoices, receipts, and other supporting documentation of prepaid shared savings disbursements)

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To advance science, we must provide these tools to scientists, but their use outside of these controlled environments is inappropriate and, in the case of athletes, a violation of the rules