; and (D) in paragraph (5)— (i) in the first sentence, by inserting in 2019 after 15,000 ; (ii) by inserting For each subsequent year, the beneficiary limitation in effect under this paragraph for the previous year (including, if applicable, any increase made under this sentence) shall be increased by 5,000 if the Secretary determines that operation of the program under this section for such previous year resulted in aggregate savings under this title for such year compared to expenditures under this title for such year had such program not been in effect. after the first sentence; (iii) by striking the increase from 10,000 to 15,000 in the preceding sentence and inserting an increase ; (iv) by inserting or the amendment made by section 2(1)(D)(ii) of the Independence at Home Demonstration Improvement Act of 2020 after Social Services Act ; (v) by striking and seventh and inserting through tenth ; and (vi) by inserting , as applicable after such program ; (2) in subsection (g)— (A) by striking The Secretary shall and inserting the following: (2) Final report The Secretary shall ; and (B) by inserting before paragraph (2), as designated by subparagraph (A), the following new paragraph: (1) Annual reports The Secretary shall conduct an independent evaluation of the demonstration program and submit to Congress an annual report at the close of each performance year (beginning with performance year 2021), including a specification of any improvements made to the program for such year. Such report shall include an analysis such improvements’ impact on coordination of care, expenditures under this title, applicable beneficiary access to services, and the quality of health care services provided to applicable beneficiaries. ; (3) in subsection (h), by striking each of fiscal years 2010 through 2015 and inserting fiscal year 2021