Bringing Down the Cost of Health Care Coverage
Health insurers providing group or individual coverage must issue to the Secretary a report for each plan year concerning what percentage of total premiums that such coverage expends:
- On reimbursement for clinical services provided to enrollees under the coverage,
- For activities that cause improved health care quality.
- On all other non-claim related costs – including an explanation of those costs and their nature. This excludes State licensing, regulatory fees and taxes. The Secretary will make this report available to the public via the website of the Department of Health and Human Services (pp. 34, lines 8-22).
Healthcare Reform summaries based on the original text of the Patient Protection and Affordable Care Act (Passed by the US Senate 12-24-09. Passed by the US House of Representatives 3-21-10. This summary is for informational purposes only. Actual provisions and any amended portions of the bills apply).