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When we calculate the performance payment limit, which is the maximum amount of earned shared savings an ACO can receive in a performance year, in the determination of an ACO's shared savings, we first calculate an ACO's per capita updated benchmark expenditures for the performance year and then multiply this value by the ACO's assigned beneficiary person years [408] for the performance year, which equals their total benchmark expenditures

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Lowering the limit to 0.05% could potentially save nearly 1,800 lives per year, based on a 2017 analysis