Page:United States Statutes at Large Volume 124.djvu/991

 124 STAT. 965 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(E) AUTOMATIC ENROLLMENT WITH ABILITY TO OPT- OUT.—The prescription drug plan sponsor shall have in place a process to— ‘‘(i) subject to clause (ii), automatically enroll tar- geted beneficiaries described in subparagraph (A)(ii), including beneficiaries identified under subparagraph (D), in the medication therapy management program required under this subsection; and ‘‘(ii) permit such beneficiaries to opt-out of enroll- ment in such program.’’. (b) RULE OF CONSTRUCTION.—Nothing in this section shall limit the authority of the Secretary of Health and Human Services to modify or broaden requirements for a medication therapy manage- ment program under part D of title XVIII of the Social Security Act or to study new models for medication therapy management through the Center for Medicare and Medicaid Innovation under section 1115A of such Act, as added by section 3021. SEC. 10329. DEVELOPING METHODOLOGY TO ASSESS HEALTH PLAN VALUE. (a) DEVELOPMENT.—The Secretary of Health and Human Serv- ices (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 enact- ment of this Act, the Secretary shall submit to Congress a report concerning the methodology developed under subsection (a). SEC. 10330. MODERNIZING COMPUTER AND DATA SYSTEMS OF THE CENTERS FOR MEDICARE & MEDICAID SERVICES TO SUP- PORT IMPROVEMENTS IN CARE DELIVERY. (a) IN GENERAL.—The Secretary of Health and Human Services (in this section referred to as the ‘‘Secretary’’) shall develop a plan (and detailed budget for the resources needed to implement such plan) to modernize the computer and data systems of the Centers for Medicare & Medicaid Services (in this section referred to as ‘‘CMS’’). (b) CONSIDERATIONS.—In developing the plan, the Secretary shall consider how such modernized computer system could— (1) in accordance with the regulations promulgated under section 264(c) of the Health Insurance Portability and Account- ability Act of 1996, make available data in a reliable and timely manner to providers of services and suppliers to support their efforts to better manage and coordinate care furnished to beneficiaries of CMS programs; and (2) support consistent evaluations of payment and delivery system reforms under CMS programs. Plans. 42 USC 1395w–104 note.