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As we explained in the CY 2021 PFS final rule (see 85 FR 84743), in which we finalized the existing requirements under § 425.316(c), and we continue to believe, requirements for enforcing compliance with the quality performance standard help to hold ACOs accountable for the quality of the care they furnish to their beneficiaries and further encourage ACOs to demonstrate consistently that they are providing high quality of care to their beneficiary populations year over year