Bringing down the cost of health care coverage

42 U.S. Code § 300gg-18. Bringing down the cost of health care coverage

(a) Clear accounting for costsA health insurance issuer offering group or individual health insurance coverage (including a grandfathered health plan) shall, with respect to each plan year, submit to the Secretary a report concerning the ratio of the incurred loss (or incurred claims) plus the loss adjustment expense (or change in contract reserves) to earned premiums. Such report shall include the percentage of total premium revenue, after accounting for collections or receipts for risk adjustment and risk corridors and payments of reinsurance, that such coverage expends—
(1)
on reimbursement for clinical services provided to enrollees under such coverage;
(2)
for activities that improve health care quality; and
(3)
on all other non-claims costs, including an explanation of the nature of such costs, and excluding Federal and State taxes and licensing or regulatory fees.
The Secretary shall make reports received under this section available to the public on the Internet website of the Department of Health and Human Services.
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