; and (2) in subsection (b)(2)(A), by inserting after the second sentence the following new sentence: The Secretary may also focus on models solely aimed at implementing practices to demonstrate ways to significantly improve the care, patient safety, and health outcomes of individuals receiving benefits under the applicable title in anticipation that quality of care benefits and potential direct or indirect savings will over time accrue to the Medicare or Medicaid program. . (b) Additional opportunity Section 1115A(b)(2)(B) of the Social Security Act ( 42 U.S.C. 1315a(b)(2)(B) ) is amended by adding at the end the following new clause: (xxviii) Implementing newly recognized and evidence-based, professionally supported care delivery practices and bundles to improve the efficient and effective delivery of hospital-based care and lead to enhanced patient outcomes, reductions in readmissions, or avoidance of costly medical errors or complications. . (c) Inclusion of indirect savings Section 1115A(b)(3)(A) of the Social Security Act ( 42 U.S.C. 1315a(b)(3)(A) ) is amended by inserting at the end or that savings cannot be made indirectly over time when testing quality of care delivery models. . (d) Evaluating quality of care Section 1115A(b)(4) of the Social Security Act ( 42 U.S.C. 1315a(b)(4) ) is amended— (1) in subparagraph (A), by amending clause (i) to read as follows: (i) the quality of care furnished under the model, including the measurement of patient-level outcomes, patient-centeredness, and any unintended consequences, such as access to services, using criteria determined appropriate by the Secretary for each model; and