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and (3) an itemization of how the prepaid shared savings were actually spent during each performance year, including expenditure categories, the dollar amounts spent on the various categories, information about which groups of beneficiaries received direct beneficiary services that were purchased with prepaid shared savings and investments that were made in the ACO with prepaid shared savings, how these direct beneficiary services were provided to beneficiaries and how the direct beneficiary services and investments supported the care of beneficiaries, any changes to the spend plan as submitted under 425.640(d)(2) (if applicable), and such other information as may be specified by CMS

All flaws mentioned above can be seen in the product photos

This study further validated these findings in sperm samples from smokers, enhancing the applicability and relevance to human studies

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