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The rationale for a financial risk scaling factor of this magnitude is that it enables us to account for a scenario in which an ACO earned zero per capita savings in the performance year that constitutes BY3 of the current agreement period, which is necessarily excluded from the calculation of an ACO's average per capita savings or losses for purposes of the prepaid shared savings multiplier because, as mentioned previously, the performance year that constitutes BY3 of the ACO's current agreement period will not have been financially reconciled at the time of the ACO's application disposition

10.1038/s41467-021-25474-x Nat

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Avoid exposure to sudden cold: You should protect your child from sudden exposure to very cold air, such as direct air conditioning, or going from a warm place to suddenly become cold