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Studies also show that being discriminated against can lead to unhealthy coping behaviors, including smoking, a well-known risk factor for heart disease

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Heart and Blood Vessel Diseases Smoking is one of the leading risk factors for heart attacks, strokes, and peripheral artery disease

Under the proposed approach we would exclude payment amounts from expenditure and revenue calculations for the relevant calendar year for which the SAHS billing activity is identified, as well as from historical benchmarks used to reconcile the ACO for a performance year corresponding to the calendar year for which the SAHS billing activity is identified (section III.G.7.d of this proposed rule)