the requirement described in this subclause, with respect to payments described in item (bb) of such clause, is that such payments are made under arrangements in which—
(aa)#
quality measures comparable to measures under the performance category described in section 1395w–4(q)(2)(B)(i) of this title apply;
(bb)#
certified EHR technology is used; and
(cc)#
the eligible professional participates in an entity that—
(AA) bears more than nominal financial risk if actual aggregate expenditures exceeds 18 expected aggregate expenditures; or
(BB) with respect to beneficiaries under subchapter XIX, is a medical home that meets criteria comparable to medical homes expanded under section 1315a(c) of this title .
(cc)(AA)#
bears more than nominal financial risk if actual aggregate expenditures exceeds 18 expected aggregate expenditures; or
(cc)(BB)#
with respect to beneficiaries under subchapter XIX, is a medical home that meets criteria comparable to medical homes expanded under section 1315a(c) of this title .