; or (B) decrease the quality of health care services furnished to eligible Medicare beneficiaries participating in the CBI–SNP demonstration program. (h) Independent evaluation and reports (1) Independent evaluation (A) In general The Secretary shall provide for the evaluation of the CBI–SNP demonstration program by an independent third party. (B) Evaluation objectives Such evaluation shall determine the extent to which the CBI–SNP demonstration program has resulted in— (i) improved patient care; (ii) reduced hospitalizations or rehospitalizations; (iii) reduced or delayed nursing facility admissions and lengths of stay under title XIX; (iv) reduced spend down of income and assets for purposes of becoming eligible for medical assistance under a State plan under title XIX; (v) improved quality of life for the eligible Medicare beneficiaries enrolled in an eligible MA plan participating in the CBI–SNP demonstration program