Each July 31, heath plans pay an IRS fee to support the Patient-Centered Outcomes Research Institute (PCORI), a nonprofit research organization chartered by the Affordable Care Act to improve health care outcomes and experiences for patients. Self-funded plan sponsors pay the fee directly, while...
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The Consolidated Appropriations Act (CAA) signed into law on December 27, 2020, and the Transparency in Coverage Act (TiC), adopted November 12, 2020, contain a number of initiatives designed to improve health care cost transparency and patient protections. Below is a calendar of key 2022 and 2023...
Within the IRS-issued Revenue Procedure 2021-36, the affordability threshold for the 2022 calendar year has been set to 9.61% of household income. This percentage is a decrease from the 2021 threshold of 9.83%. The affordability threshold is used to determine an individual’s eligibility for a...
The annual Patient-Centered Outcomes Research Institute (PCORI) fee for plans ending between October 1, 2020, and October 1, 2021, is $2.66. This is an increase from the 2020 rate of $2.54.