Know Before You Go Act of 2016

Know Before You Go Act of 2016

This bill amends the Public Health Service Act to permit health insurers to include, for plan year accounting purposes, activities related to a transparency tool as activities that improve health care quality. (An insurer must provide a rebate to enrollees if the insurer spends less than a certain percentage of premium revenues on clinical services and activities that improve health care quality.) A transparency tool is a website and telephone support that provides quality of care and cost sharing comparisons among in-network providers.

Such accounting for a plan year is permitted only for insurers that have: (1) significantly increased the percentage of enrollees using a transparency tool compared to the previous year, (2) provided cost sharing estimates for episodes of care upon request, and (3) made available a list of high deductible health plans offered by the insurer to each individual seeking coverage from the insurer.