Section 10329

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].