; (II) to implement processes or procedures that otherwise optimize the delivery, efficiency, or quality of patient-centered care; and (III) to predetermine the allocation of financial risk (as defined in clause (i)) assumed by each party based on the participant’s relative contribution to the achievement of targeted outcomes. . (b) Effective date The amendment made by this section shall apply to arrangements entered into on or after the date of enactment of this Act. 4. Stark law exception for value-based arrangements (a) Section 1877(e) of the Social Security Act ( 42 U.S.C. 1395nn(e) ) is amended by adding at the end the following new paragraphs: (9) Value-based arrangements Remuneration to a physician (or an immediate family member of such physician) paid under a value-based arrangement (as defined in section 1128B(b)(5)(B)). . (b) Effective date The amendment made by this section shall apply with respect to arrangements entered into on or after the date of enactment of this Act.