; (B) the Chief Actuary of the Centers for Medicare & Medicaid Services certifies that such expansion would reduce (or would not result in any increase in) net program spending under this title; and (C) the Secretary determines that such expansion would not deny or limit the coverage or provision of benefits under this title for applicable individuals. (7) Study The Secretary shall conduct a study on an appropriate payment adjustor under the Program to ensure there are not disincentives in under the payment method under the Program from providing proper transplant evaluations. (d) Identification of program-Eligible beneficiaries The Secretary shall establish a process for the initial and ongoing identification of Program-eligible beneficiaries. (e) Program-Eligible Beneficiaries assigned Into an ESRD Integrated Care Organization Open Network Model (1) Assignment (A) In general Under the Program, subject to the succeeding provisions of this paragraph, the Secretary shall, upon the Secretary identifying a beneficiary as a Program-eligible beneficiary, assign all such Program-eligible beneficiary to an open network model offered by an Organization that includes the dialysis facility at which the Program-eligible beneficiary primarily receives renal dialysis services. (B) Program-eligible beneficiary notification of assignment (i) In general Upon assignment of a Program-eligible beneficiary to an Organization, the Secretary shall provide to the Organization written notification of such assignment of such Program-eligible beneficiary and not later than 15 business days after the date of receipt of such notification, the Organization shall provide written notice to the Program-eligible beneficiary— (I) of such assignment