; and (E) any other similar program conducted under this title or under applicable authorities under title XI. (2) Exclusion of additional costs of breakthrough devices Insofar as the amount of payment for a breakthrough device exceeds the amount of payment that the item or service would otherwise receive under an alternative payment model for which shared savings or shared losses are calculated, the Secretary shall exclude from the calculation of such shared savings or losses under such program for such period the amount by which the payment for the breakthrough device involved exceeds the payment amount for such other item or service that would have been made but for the use of the breakthrough device. (3) Adjustment to quality process measures for breakthrough devices (A) In general In the case that the furnishing by a provider of services or supplier participating in an alternative payment model of a breakthrough device to an individual entitled to benefits under part A or enrolled under part B and participating in such program would result in such provider or supplier, with respect to the condition and episode of care for which such device is furnished, receiving a poor or failing score for a quality measure under such program that measures whether such provider or supplier gave the treatment known to give the best results for most patients with a particular condition (commonly known as a clinical process of care measure), the Secretary shall exclude such quality measure from any determination of whether such provider or supplier met applicable quality performance thresholds under such program with respect to such condition and episode of care of such individual. (B) Inapplicability to clinical outcomes measures Nothing in subparagraph (A) may be construed to allow for the exclusion, with respect to a breakthrough device furnished to an individual by a provider or supplier under an alternative payment model, of any quality measure designed to reflect the results of care furnished to such individual by such