++ Step 5(ii): Weight the risk-adjusted county-level FFS expenditures determined in Step 5(i) according to the ACO's proportion of assigned beneficiaries in the county, determined in accordance with 425.601(d)(1), 425.603(f)(1), or 425.654(b)(1), as applicable, for each of the populations of beneficiaries by Medicare enrollment type
Additionally, annual consideration of which measures would have the defined topped out measure benchmark applied would take into account any changes to the availability of applicable measures and changes in the topped out status of measures that previously had the defined topped out measure applied
1 The NZHS is an annual nationally representative population survey that has run since 2011/12
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