; and (B) promotes care that is integrated, patient-centered, high-quality, and efficient. (3) Encouraging the use of high value services To the extent allowed by the benefit standards applied to all health benefits plans participating under the Exchange involved, the public health insurance option may modify cost sharing and payment rates to encourage the use of services that promote health and value. (4) Non-uniformity permitted Nothing in this subtitle shall prevent the Secretary from varying payments based on different payment structure models (such as accountable care organizations and medical homes) under the public health insurance option for different geographic areas. (e) Provider participation (1) In general The Secretary shall establish conditions of participation for health care providers under the public health insurance option. (2) Licensure or certification The Secretary shall not allow a health care provider to participate in the public health insurance option unless such provider is appropriately licensed or certified under State law. (3) Payment terms for providers (A) Physicians The Secretary shall provide for the annual participation of physicians under the public health insurance option, for which payment may be made for services furnished during the year, in one of 2 classes: (i) Preferred physicians Those physicians who agree to accept the payment rate established under this section (without regard to cost sharing) as the payment in full. (ii) Participating, non-preferred physicians Those physicians who agree not to impose charges (in relation to the payment rate described in subsection (c) for such physicians) that exceed the ratio permitted under section 1848(g)(2)(C) of the Social Security Act. (B) Other providers The Secretary shall provide for the participation (on an annual or other basis specified by the Secretary) of health care providers (other than physicians) under the public health insurance option under which payment shall only be available if the provider agrees to accept the