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There are Advanced APMs which take on some form of financial risk

Behavioral Risk Factor Surveillance System, 2017 AICAF, Sacred Traditional Tobacco for Healthy Native Communities: A Balanced Community for Health

Hersi M, Beck A, Hamel C, et al

Coverage must begin in the case of a dependent's birth on the date of birth and in the case of a dependent's adoption or placement for adoption no later than the date of such adoption or placement for adoption (or, if dependent coverage is not made generally available at the time of the birth, adoption, or placement for adoption, the date the plan makes dependent coverage available)