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A: The PCORI fee is an annual fee paid by the issuers and sponsors of certain types of health plans. It is intended to help fund the Patient-Centered Outcomes Research Institute, which compiles and distributes findings of comparative clinical effectiveness. The fee was established as a part of the Affordable Care Act.
The PCORI regulation provides that issuers and sponsors of self-funded plans may use any of the following methods to calculate the fee: 1) the actual count method; 2) the snapshot method; or 3) the Form 5500 method. In addition, issuers are permitted to use the state form method and the member months method.