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These ACOs primarily invested in staffing and healthcare infrastructure including care management, ACO administration, health IT and data analysis, [496] and these ACOs generated an estimated net aggregate reduction in spending by Medicare of $381.5 million after accounting for Medicare's payment of AIM funds and participating ACOs' earned shared savings

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Meerschaum is exceptionally porous and delivers a very pure, clean smoke, and it has the fascinating property of changing color over time, darkening from white to shades of gold, red, and brown as it absorbs oils, creating a patina that is a testament to its history

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