; and ; (D) in paragraph (4), as redesignated by subparagraph (B), by inserting before the period at the end the following: nor increase health disparities experienced by women, low-income, minority, or rural beneficiaries ; and (E) in the matter following paragraph (4), as redesignated by subparagraph (B), by inserting , improve access to care, after care . 3. Understanding social determinants of health in Medicare and Medicaid populations The Secretary of Health and Human Services shall, for each fiscal year (beginning not later than fiscal year 2019), submit to Congress an annual report that analyzes the following: (1) The extent and severity of minority and rural health disparities in Medicare and Medicaid beneficiaries. (2) The prevalence of interventions that address social determinants of health in payment models selected by the Center for Medicare and Medicaid Innovation for testing. (3) The prevalence of interventions that address social determinants of health in payment models not selected by the Center for Medicare and Medicaid Innovation for testing. (4) The effectiveness of payment models selected by the Center for Medicare and Medicaid Innovation for testing in mitigating negative health outcomes associated with social determinants of health. (5) Changes in the prevalence of minority health disparities and rural health disparities in Medicare and Medicaid beneficiaries served by providers participating in payment models that were expanded by the Center for Medicare and Medicaid Innovation. (6) In consultation with the Comptroller General of the United States, estimated Federal savings achieved through the reduction of rural and minority health disparities. (7) Other areas determined appropriate by the Secretary.