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In today's discussion, we focus on ACO participation agreements and the initial steps for forming a Medicare ACO network. Key actions include finalizing participation agreements to ensure they are ready for submission, obtaining Medicare claims to evaluate participant performance metrics (available even without ACO status), and determining a shared savings distribution model to effectively communicate it to participants. Additionally, it's important to gather signatures for the participation agreements, submit them through the CMS portal, and secure ACO approval. Guest expert Greg Shockey, experienced in Medicare ACOs, joins to share insights.