Health Insurance Medical Research Fee

Prescribed Drugs

A small but lucrative component to the Patient Protection and Affordable Care Act is due to start in 2012. Known as a medical research fee, the Federal Government will begin charging individuals with health insurance this fee starting in 2012. Expect to see this add-on fee to appear on your health insurance premium bills very soon as health insurance companies are responsible for collecting these fees.

The purpose of the medical research fee is designed to provide funding for the collection of data in regards to the effectiveness of prescription drugs, diagnostic testing, medical treatments and procedures. This information will be collected by the Patient-Centered Outcomes Research Institute, which is an independent organization with the stated purpose of helping people make informed decisions regarding their health. Improved health care delivery and effective treatment options are a component of the Patient-Centered Outcomes Research Institute’s overall mission.

Although some view this medical research fee as a tax, it does have the potential to collect and analyze important medical data. However, serious questions do remain for those that are skeptical of any organization that has not ensured the public of its objectivity and by providing transparency to bring credibility to their findings. Just like the FDA, there will be a significant amount of outside influence from the health care industry to shift findings to a more profitable outcome for the medical companies which they represent.

How much does the Federal medical research fee cost?

Starting in 2012, those with health insurance policies will see a $1 fee added to their premiums. Although these funds are to be collected in 2012, the Federal Government will not likely receive payment from the health insurance companies until 2013. In 2013, this fee increases to $2 per person and will be inflation adjusted in years 2014 and beyond.

Even though the Patient-Centered Outcomes Research Institute is not a decision making body, its findings may be used in the future to determine which prescription drugs, diagnostic tests and treatments will be covered under health insurance plans. Because of this, it is critical that the purpose of this medical research and the findings derived from it are not corrupted by outside influences.


Patient-Centered Outcomes Research Institute