…c could cause an overall decrease in assigned beneficiaries, and change the demographics of the assigned population (including beneficiaries' CMS-HCC risk profiles). Some commenters were especially concerned about the impact on ACOs under prospective assignment. For example, one …

…ate, states must only count the overall rate; they do not have to record by demographics. This allows young people on the margins to be practically ignored, and disparities in graduation rates to be silenced. Second, and also incongruent with the accountability mandates that stip…