under the program. (F) Health outcomes as measured by primary care appointments, visits to an emergency department, the number and length of hospitalizations, admissions to a skilled nursing facility or nursing facility, and other outcomes as determined appropriate by the Secretary. (G) The cost to the Medicare program under title XVIII of the Social Security Act of providing the add-on payment described in subsection (b)(2). (H) The per member, per month amount of the add-on payment received by each safety net health plan. (e) Definitions In this section: (1) Cohort The term cohort refers to the safety net health plans that begin participating in the program in the same calendar year. (2) Dual eligible special needs plan