Okuzeka
Healthcare Management vocabulary · Health Insurance and Reimbursement

Payer

Meaning in healthcare management, with examples

/ˈpeɪər/nounCore term

In healthcare management, payer means: An organisation that pays for patients' healthcare, such as a government health fund, a social security institution or an insurance company.

In Turkish: ödeyici kurum, ödeyici, geri ödeme kurumu

How it is used

Often used in pairs and contrasts: payers and providers, public and private payers, the payer mix (the share of patients by type of payer). Americans also speak of 'third-party payers' and 'single-payer systems'.

Example sentences

  1. Our payer mix has shifted: private insurers now account for 40% of revenue.

  2. Every payer has its own rules for approving expensive cancer drugs.

Common collocations

  • public payer
  • private payer
  • payer mix
  • third-party payer
  • single-payer system
  • healthcare providerA person or organisation that delivers medical care to patients, such as a doctor, a hospital, a clinic or a home care service.
  • reimbursementThe money that an insurer or public payer pays a hospital or doctor for care already given to a patient, according to agreed rules and prices.
  • health insuranceA system or contract in which regular payments to a public fund or a company cover all or part of a person's medical costs.
  • claimA formal request that a hospital or patient sends to an insurer or public payer, listing the care given and asking to be paid for it.

More terms: Health Insurance and Reimbursement

Practise with graded reading

Reading at the right level is the fastest way to make new words stick. Pick free English books by level:

This page explains English vocabulary for learners. It is not medical advice.