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Limiting Participation in a One-Sided Model to an ACO's First Agreement Period Under the BASIC Track's Glide Path As discussed in the CY 2026 PFS proposed rule (90 FR 32655 through 32659), we believe that an approach under which we limit the amount of time an ACO can remain under a one-sided model of the Shared Savings Program and thereby encourage ACOs to transition to performance-based risk, would align with our current strategic direction, as part of achieving CMS' vision to Make America Healthy Again