; and (ii) examine the degree to which Medicaid payment strategies (such as the use of primary case management, medical homes, and palliative care, the use of payment rates for physicians’ services that are not less than the Medicare payment rates that apply to such care and services under part B of title XVIII, and allowing Federally-qualified health centers to contract with specialty physicians to be paid at Federally-qualified health center payment rates for services furnished in a physician’s office), including such strategies as modified through such a model, improve access, outcomes, and patient satisfaction for such individuals and reduce emergency department utilization by such individuals. (D) Disproportionate share county defined In this paragraph, the term disproportionate share county means a county in which at least 35 percent of the residents of the county are enrolled under the State plan under title XIX (or under a waiver of such plan). .