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Estimating pooled RRs for each riskoutcome pair We selected the effect sizes to be used in our meta-analytic approach within each included study and health outcome based on a prioritization cascade

We note that in prior rulemaking, for example, in the CY 2013 PFS final rule, we stated, we further consider[ed] how advanced primary care practices can fit within a fee-for-service model (77 FR 68987), and in the CY 2015 PFS final rule, we stated our commitment to supporting advanced primary care, including the recognition of care management as one of the critical components of primary care that contributes to better health for individuals and reduced expenditure growth (79 FR 67715)