Pub. L. 111-148, tit. X, subtit. C, sec. 10329 (as amended)
DEVELOPING METHODOLOGY TO ASSESS HEALTH PLAN VALUE.
SEC. 10329. DEVELOPING METHODOLOGY TO ASSESS HEALTH PLAN VALUE.
(a) Development.—The Secretary of Health and Human Services (referred to in this section as the “Secretary”), in consultation with relevant stakeholders including health insurance issuers, health care consumers, employers, health care providers, and other entities determined appropriate by the Secretary, shall develop a methodology to measure health plan value. Such methodology shall take into consideration, where applicable—
(1) the overall cost to enrollees under the plan;
(2) the quality of the care provided for under the plan;
(3) the efficiency of the plan in providing care;
(4) the relative risk of the plan's enrollees as compared to other plans;
(5) the actuarial value or other comparative measure of the benefits covered under the plan; and
(6) other factors determined relevant by the Secretary.
(b) Report.—Not later than 18 months after the date of enactment of this Act, the Secretary shall submit to Congress a report concerning the methodology developed under subsection (a).