for coverage of home health services. (B) Improving care coordination through access to telehealth (i) Flexibility in furnishing telehealth services In applying section 1834(m) in the case of an ACO, the Secretary shall grant a waiver, and the ACO may elect, to have the limitations on originating site (under paragraph (4)(C) of such section) and on the use of store-and-forward technologies (under paragraph (1) of such section) not apply. The previous sentence shall not be construed as affecting the authority of the Secretary under subsection (f) to waive other provisions of such section. (ii) Provision of remote monitoring in connection with home health services Nothing in this section shall be construed as preventing an ACO from paying for remote patient monitoring and home-based video conferencing services in connection with the provision of home health services (under conditions for which payment for such services would not be made under section 1895 for such services) in a manner that is financially not more expensive than the furnishing of a home health visit. (C) Moving up risk track annually Each year of an agreement period, the Secretary shall permit an ACO to make an election to assume greater risk. (4) Discretionary revocation The Secretary may revoke, at the Secretary’s discretion, a waiver granted under paragraph (3). (5) Provisions for sharing of internal cost savings (A) In general Subject to the succeeding provisions of this paragraph, the Secretary shall permit an ACO to distribute internal cost savings among ACO participants pursuant to an internal cost savings sharing arrangement if the arrangement meets the requirements of subparagraph (B) and the ACO meets the reporting requirements of subparagraph (C) with respect to such arrangement. (B) Requirements relating to design of arrangement The requirements of this subparagraph for an internal cost savings sharing arrangement of an ACO are as follows: (i) No reduction in medically necessary care ACO participants may not reduce or limit medically