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CMS computes an ACO's shared savings payment by applying the final sharing rate to the ACO's savings on a first dollar basis (meaning the final sharing rate is applied to the ACO's full total savings amount), with the payment subject to a cap that is equal to 20 percent of the updated benchmark ( 425.610(e)(2))

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Fluoride, provided either topically or in toothpaste, at levels too low to inhibit enolase, integrates into the tooth surface, forming fluoroapatite, which is more resistant to demineralization

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The intrinsic, or mitochondrial, pathway is activated by honeys polyphenolic components that cause mitochondrial membrane depolarization and activate caspases 3, 7, and 9 ( In vivo studies using Wistar rats in which honey was ingested with Aloe vera showed that these apoptotic effects complement the cell cycle arrest described in Section 4.1 ( The extrinsic, or death receptor-mediated, pathway is also controlled by honey, particularly through its effect on epithelialmesenchymal transition (EMT)a key component in tumor invasion and metastasis ( in vitro , with some clinical trials still needed to fine tune dosing and therapeutic effects