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    October 22, 2019  

    The Honorable Catherine Cortez Masto
    United States Senate
    516 Hart Senate Office Building
    Washington, DC 20510

    The Honorable Pat Roberts
    United States Senate
    109 Hart Senate Office Building
    Washington, DC 20510

    Dear Senators Cortez Masto and Roberts,

    On behalf of the undersigned organizations, we thank you for introducing legislation that fixes a formula to measure accountable care organization (ACO) performance by more fairly comparing ACOs to their markets. Specifically, S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location.

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