What's the difference between payer and payor?

Payer


Definition:

  • (n.) One who pays; specifically, the person by whom a bill or note has been, or should be, paid.

Example Sentences:

  • (1) Focusing on two prospective payment systems that operated concurrently in New Jersey, this study employs the hospital department as the unit of analysis and compares the effects of the all-payer DRG system with those of the SHARE program on hospitals.
  • (2) One mortgage payer, writing on the MoneySavingExpert forum, said: "They are asking for an extra £200 per month for the remaining nine years of our mortgage.
  • (3) Indeed, the BBC’s own recent Digital Media Initiative was closed by Tony Hall, having lost £100m.” The document is entitled “BBC3: An Alternative Strategy – Realising Value for the Licence Payer”.
  • (4) "Hints that the license fee payer will be hit are the closest the Tories come to explaining how they intend to pay for this."
  • (5) Meanwhile, we need to show that the recent changes to how we work with the BBC Executive are allowing us to be more focused, more rigorous and more transparent in the work that we do, so that licence fee payers can get a better BBC.
  • (6) Speaking before details about Thompson's evidence to the committee had been made public, Hodge said she had seen evidence of "total chaos" at an organisation more concerned with its public image than licence fee payers' money.
  • (7) Economic pressures, technology, and third-party payers are contributing to this trend.
  • (8) The chancellor failed to cut pension contribution tax relief on pensions for higher-rate tax payers – a move that was widely speculated before the budget.
  • (9) Such estimates are difficult to obtain because most cost data for nursing homes are available from Medicare or Medicaid cost reports, which provide only average values per patient-day across all patients (or all of a particular payer's patients).
  • (10) Miliband says he does not want union levy payers disenfranchised from the Labour party elections, but is happy to look at how the relationship could be reformed.
  • (11) He's said that the government will abolish child benefit for all higher-rate tax payers from 2013.
  • (12) The BBC has spent more than £5m of licence fee payers' money so far on internal investigations and inquiries relating to the Jimmy Savile sex abuse scandal.
  • (13) She suggests that the doctrine of 'bad faith breach of contract' might appropriately be extended into this new area to provide a powerful means by which aggrieved patients and payers can hold physicians personally accountable for abusive self-referrals.
  • (14) Consumers, payers, and policymakers are demanding to know more about the quality of the services they are purchasing or might purchase.
  • (15) The BBC Trust said it "would be unacceptable for licence-fee payers to pick up a bill for what is a universal benefit".
  • (16) Although it is difficult to identify any single policymaker in the United States who can alter the aggregate effect of the millions (or billions) of individual clinical decisions, there are many potential users of policy models: payers, providers, state and local health departments, the National Institutes of Health, professional organizations, hospitals and producers of medical devices, among others.
  • (17) Paul use fewer hospital resources relative to conventional payers?
  • (18) Areas of greatest stress focus on time pressures and realities of medical practice, i.e., being reimbursed by third-party payers and meeting the need for certainty when medical knowledge only allows for approximation.
  • (19) Implementation of the system is discussed in relation to the calculation of fees; comparisons with alternate charging methods; approval of special clinical service charges; computer billing; information about pharmacy charges for patients; and third-party payers.
  • (20) Overnight, banking debt in six Irish banks (including the four bailed out on Thursday) was converted into state debt, payable by tax-payers.

Payor


Definition:

  • (n.) See Payer.

Example Sentences:

  • (1) Recent court decisions since the landmark Wickline v. The State of California case in 1987 have addressed this issue of shared liability between payors and providers.
  • (2) Even more worrisome to these institutions is the possibility of other third-party payors following Medicare's lead and converting to this reimbursement plan.
  • (3) Such requests arise from third-party payors such as insurance companies, state workers compensation departments, and other systems of disability determination.
  • (4) All adult medical admissions (N = 30,097) were analyzed for a three-year period at a large academic medical center using the DRG "all payor" classification scheme in effect for New York State.
  • (5) Medicare patients had (on average) a longer hospital length of stay and total hospital cost compared to patients from Medicaid, Blue Cross, and other commercial payors.
  • (6) These differences could not be explained by differences in age level and payor status of sample populations.
  • (7) The criteria should undergo complete specificity and sensitivity testing, be expanded to include more outcome measures, and be applied to other geographic areas before use by other third party payors.
  • (8) In an attempt to control costs and increase the efficiency of health care, it is being increasingly delivered in alternate health-care systems where third-party payors influence the access, use, and quality of that care.
  • (9) Analysis of 858 pulmonary medicine patients by payor (Medicare, Medicaid, Blue Cross, and commercial insurance) in these non-CC stratified pulmonary medicine DRGs for a three-year period demonstrated that patients with more CCs per DRG for each payor generated higher total hospital costs, a longer hospital length of stay, a greater percentage of procedures per patient, financial risk under DRG payment, more outliers, and a higher mortality, compared to patients in these same DRGs with fewer CCs.
  • (10) Analysis of 12,340 medical patients by payor (Medicare, Medicaid, Blue Cross, and commercial insurance) in these non-CC-stratified medical DRGs for a three-year period demonstrated that patients with more CCs per DRG for each payor generated higher total hospital costs, a longer hospital length of stay, a greater percentage of procedures per patient, higher financial risk under DRG payment, and a higher mortality, compared with patients in these same DRGs with fewer CCs.
  • (11) The forces of technology and changing payor requirements continue to move many surgical procedures to the ambulatory setting.
  • (12) This article examines factors contributing to this reduction in autonomy and reviews potential impacts on the profession, patients, payors, health care organizations, and managers.
  • (13) However, present financing of GME by Medicare is linked to payment for inpatient service, and few other payors pay explicitly for education.
  • (14) Diagnosis serves to differentiate the "products"; however, diagnoses are grouped by payor and similar treatment cost experiences to create a limited set of managerially meaningful case types.
  • (15) In All Payor Systems, Medicare, Medicaid, Blue Cross and other commercial insurers pay by the DRG mode; the state of New York has been All Payor since 1 January 1988.
  • (16) Our findings were as follows: (1) With charges as a measure of expense under both payment schemes, all clinical departments had large groups of unprofitable patients: Medicare, $12,895,038; all-payor system, $15,553,893.
  • (17) A changing clinical environment both because of diseases such as AIDS, which were not anticipated when these clinical codes were created, and because of the changing relationship between the physician, the patient, and the payor for the physician's care creates dilemmas concerning the rule of confidentiality.
  • (18) Both Medicare and Medicaid patients had (on average) a longer hospital stay and total hospital cost compared with patients from Blue Cross and other commercial payors.
  • (19) Developing a monolithic vocabulary would require a massive effort, and its existence would not guarantee its use by third-party payors, by practicing clinicians, or by developers of electronic medical information systems.
  • (20) In addition, the DRG system only applies to Medicare payments; the Norwegian experience demonstrates that this system may result in significant shifting of costs onto other payors.

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