The PCORI fee is a fee assessed on health insurance plans to fund the Patient-Centered Outcomes Research Institute (PCORI). PCORI is an independent, nonprofit organization that funds research to improve the quality and value of health care. The fee was created by the Affordable Care Act (ACA) and is currently set at $2.35 per covered life. The fee is expected to generate approximately $3.2 billion in 2025.
The PCORI fee has been controversial since its inception. Critics argue that the fee is a tax on health insurance and that it will lead to higher premiums for consumers. Supporters of the fee argue that it is a necessary investment in research that will improve the quality and value of health care.
The PCORI fee is scheduled to expire in 2029. Congress will need to decide whether to extend the fee or allow it to expire. If the fee is allowed to expire, PCORI will no longer be able to fund research.
1. Funding
The PCORI fee is a critical source of funding for PCORI’s research activities. The fee has allowed PCORI to fund a wide range of research projects that are improving the quality and value of health care. For example, PCORI has funded research on the effectiveness of different treatments for back pain, the best ways to prevent and manage diabetes, and the patient experience of care for cancer patients.
- Research on the effectiveness of different medical treatments: PCORI has funded research on the effectiveness of different medical treatments for a variety of conditions, including back pain, diabetes, and cancer. This research has helped to identify the most effective treatments for these conditions, which can lead to better outcomes for patients.
- Research on the best ways to prevent and manage chronic diseases: PCORI has also funded research on the best ways to prevent and manage chronic diseases, such as heart disease, stroke, and diabetes. This research has helped to develop new strategies for preventing and managing these diseases, which can lead to healthier lives for patients.
- Research on the patient experience of care: PCORI has also funded research on the patient experience of care. This research has helped to identify ways to improve the patient experience, which can lead to better outcomes for patients.
The PCORI fee is a critical source of funding for research that is improving the quality and value of health care. The fee is transparent and accountable, and it is subject to oversight by Congress and the public.
2. Transparency
The transparency of the PCORI fee is an important part of the fee’s design. The fee is set by law and is publicly available. PCORI is also required to report on how the fee is used, including the research projects that are funded. This transparency helps to ensure that the fee is used for its intended purpose and that the public can hold PCORI accountable for its use of the fee.
The transparency of the PCORI fee is also important for the fee’s credibility. The public can be confident that the fee is being used for its intended purpose and that PCORI is being held accountable for its use of the fee. This credibility is important for the fee’s long-term sustainability.
The transparency of the PCORI fee is a key component of the fee’s success. The fee is a critical source of funding for PCORI’s research activities. The fee’s transparency helps to ensure that the fee is used for its intended purpose and that the public can hold PCORI accountable for its use of the fee.
3. Accountability
The accountability of the PCORI fee is an important part of the fee’s design. PCORI is required to report on the results of its research and to demonstrate that the fee is being used to improve the quality and value of health care. This accountability helps to ensure that the fee is used for its intended purpose and that the public can hold PCORI accountable for its use of the fee.
The accountability of the PCORI fee is also important for the fee’s credibility. The public can be confident that the fee is being used for its intended purpose and that PCORI is being held accountable for its use of the fee. This credibility is important for the fee’s long-term sustainability.
The accountability of the PCORI fee is a key component of the fee’s success. The fee is a critical source of funding for PCORI’s research activities. The fee’s accountability helps to ensure that the fee is used for its intended purpose and that the public can hold PCORI accountable for its use of the fee.
Here are some examples of how PCORI is held accountable for its use of the fee:
- PCORI is required to submit an annual report to Congress on its activities and accomplishments.
- PCORI is subject to oversight by the Government Accountability Office (GAO).
- PCORI is required to have its financial statements audited by an independent auditor.
These accountability measures help to ensure that PCORI is using the fee in a responsible and transparent manner.
FAQs about the PCORI Fee 2025
The PCORI fee is a fee assessed on health insurance plans to fund the Patient-Centered Outcomes Research Institute (PCORI). PCORI is an independent, nonprofit organization that funds research to improve the quality and value of health care. The fee was created by the Affordable Care Act (ACA) and is currently set at $2.35 per covered life. The fee is expected to generate approximately $3.2 billion in 2025.
Here are some frequently asked questions about the PCORI fee:
Question 1: What is the PCORI fee?
Answer: The PCORI fee is a fee assessed on health insurance plans to fund the Patient-Centered Outcomes Research Institute (PCORI). PCORI is an independent, nonprofit organization that funds research to improve the quality and value of health care.
Question 2: How much is the PCORI fee?
Answer: The PCORI fee is currently set at $2.35 per covered life.
Question 3: Who pays the PCORI fee?
Answer: The PCORI fee is paid by health insurance plans.
Question 4: What does the PCORI fee fund?
Answer: The PCORI fee funds research to improve the quality and value of health care.
Question 5: Is the PCORI fee a tax?
Answer: No, the PCORI fee is not a tax. It is a fee assessed on health insurance plans to fund research to improve the quality and value of health care.
Question 6: Will the PCORI fee increase my health insurance premiums?
Answer: The PCORI fee is a small fee that is unlikely to have a significant impact on health insurance premiums.
Summary: The PCORI fee is a critical source of funding for research to improve the quality and value of health care. The fee is transparent and accountable, and it is subject to oversight by Congress and the public.
Next: The Importance of PCORI-Funded Research
Tips Related to “PCORI Fee 2025”
The PCORI fee is a fee assessed on health insurance plans to fund the Patient-Centered Outcomes Research Institute (PCORI). PCORI is an independent, nonprofit organization that funds research to improve the quality and value of health care. The fee was created by the Affordable Care Act (ACA) and is currently set at $2.35 per covered life. The fee is expected to generate approximately $3.2 billion in 2025.
Here are five tips related to the PCORI fee:
Tip 1: Understand the purpose of the PCORI fee.The PCORI fee is used to fund research that improves the quality and value of health care. This research helps to identify the most effective treatments for different conditions, develop new strategies for preventing and managing chronic diseases, and improve the patient experience of care.Tip 2: Be aware of the amount of the PCORI fee.The PCORI fee is currently set at $2.35 per covered life. This fee is paid by health insurance plans.Tip 3: Know who benefits from the PCORI fee.The PCORI fee benefits patients, providers, and policymakers. Patients benefit from research that leads to more effective treatments and better care. Providers benefit from research that helps them to make better decisions about patient care. Policymakers benefit from research that informs policy decisions about health care.Tip 4: Be informed about how the PCORI fee is used.PCORI is required to report on how the fee is used. This information is available on PCORI’s website.Tip 5: Support research that improves the quality and value of health care.The PCORI fee is a critical source of funding for research that improves the quality and value of health care. You can support this research by contacting your elected officials and letting them know that you support the PCORI fee.
Conclusion
The PCORI fee is a critical source of funding for research that is improving the quality and value of health care.
The fee is transparent, accountable, and subject to oversight by Congress and the public. The research that is funded by the PCORI fee is making a difference in the lives of patients, providers, and policymakers.
We must continue to support research that improves the quality and value of health care. The PCORI fee is a vital investment in our health care system.
