Patient-Centered Outcomes Research Institute (PCORI) Fees

What is Patient-Centered Outcomes Research Institute (PCORI) Fees?

PCORI fees are federally mandated charges that health insurance issuers and sponsors of self-insured health plans must pay annually to fund the Patient-Centered Outcomes Research Institute. The institute uses these funds to conduct research comparing the effectiveness of different medical treatments and healthcare delivery methods.

Why Patient-Centered Outcomes Research Institute (PCORI) Fees Matters

For employers who sponsor self-insured health plans, PCORI fees are calculated based on the average number of covered lives and are reported and paid through IRS Form 720. HR and benefits teams need to track covered employee counts accurately and ensure timely filing to remain compliant with this Affordable Care Act requirement.