Pub. L. 105-85, div. A, tit. VII, subtit. A, sec. 703
STUDY CONCERNING THE PROVISION OF COMPARATIVE INFORMATION.
SEC. 703. STUDY CONCERNING THE PROVISION OF COMPARATIVE INFORMATION. (a) Study.—The Secretary of Defense shall conduct a study concerning the provision of the information described in subsection (b) to beneficiaries under the TRICARE program established under the authority of chapter 55 of title 10, United States Code, and prepare and submit to Congress a report concerning such study. (b) Provision of Comparative Information—Information described in this subsection, with respect to a managed care entity that contracts with the Secretary of Defense to provide medical assistance under the program described in subsection (a), shall include the following: (1) The benefits covered by the entity involved, including—111 STAT. 1808 (A) covered items and services beyond those provided under a traditional fee-for-service program; (B) any beneficiary cost sharing; and (C) any maximum limitations on out-of-pocket expenses. (2) The net monthly premium, if any, under the entity. (3) The service area of the entity. (4) To the extent available, quality and performance indicators for the benefits under the entity (and how they compare to such indicators under the traditional fee-for-service programs in the area involved), including— (A) disenrollment rates for enrollees electing to receive benefits through the entity for the previous two years (excluding disenrollment due to death or moving outside the service area of the entity); (B) information on enrollee satisfaction; (C) information on health process and outcomes; (D) grievance procedures; (E) the extent to which an enrollee may select the health care provider of their choice, including health care providers within the network of the entity and out-of-network health care providers (if the entity covers out-of-network items and services); and (F) an indication of enrollee exposure to balance billing and the restrictions on coverage of items and services provided to such enrollee by an out-of-network health care provider. (5) Whether the entity offers optional supplemental benefits and the terms and conditions (including premiums) for such coverage. (6) An overall summary description as to the method of compensation of participating physicians.