Patient Centered Outcomes Research Institute Fees (PCORI)
The Affordable Care Act created the Patient-Centered Outcomes Research Institute to help patients, clinicians, payers and the public make informed health decisions by advancing the comparative effectiveness research. The Institute’s research is funded, in part, by fees paid by health insurance issuers and sponsors of self-insured health plans. These fees are widely known as PCORI fees.
Who must pay the PCORI Fees?
The entity that is responsible for paying the PCORI Fees depends on whether the plan is fully insured or self-funded.
- For fully insured health plans, the issuer of the health insurance policy is required to pay the research fees.
- For self-insured health plans, the research fees are to be paid by the Plan Sponsor (The Company)
There are two methods for calculating the PCORI Fees. For more information regarding the PCORI fees, the calculation methods, how and when to report and pay these fees, please contact your LaPorte representative or visit the client information portal INSource.