; (iv) assessment of program implementation; (v) processes and lessons learned (as described in subparagraph (B)); (vi) assessment of quality improvements and clinical outcomes under such option; and (vii) estimates of cost savings. (B) Implementation reporting Such a State shall report to the Secretary, as necessary, on processes that have been developed and lessons learned regarding provision of coordinated care through a health home for beneficiaries with chronic conditions under such option. (b) Specialty medical homes Title XVIII of the Social Security Act, as amended by subsection (a), is further amended by adding at the end the following new section: 1899D. Specialty medical homes (a) In general Beginning not later than 30 days after the date of the enactment of this section, the Secretary may contract with a national or multi-state regional center of excellence with a network of affiliated local providers to provide through one or more medical homes for targeted, accessible, continuous, and coordinated care to individuals under this title and title XIX with a long-term illness or medical condition that requires regular medical treatment, advising, and monitoring. (b) Medical home defined In this section, the term medical home means a medical entity that— (1) specializes in the care for a specific long-term illness or medical condition, including related comorbidities; (2) leads the development of related evidence-based clinical standards and research; (3) has a network of affiliated personal physicians and patient treatment facilities; (4) maintains an online Web site for patient and provider communication and collaboration and patient access to the patient’s health information