The proportionate distribution of different types of payors, such as private insurance, government programs, and self-pay patients, contributing to the overall revenue of a healthcare facility.
Private insurance plans provided by commercial companies, covering healthcare costs for individuals and employees, and influencing the payor mix of a healthcare organization.
Publicly funded insurance programs, such as Medicare and Medicaid, which contribute to the payor mix and play a significant role in reimbursing healthcare services.
A federal health insurance program primarily for individuals aged 65 and older, influencing the payor mix in healthcare facilities that serve elderly populations.
A joint federal and state program that provides health coverage for low-income individuals and families, impacting the payor mix of healthcare providers serving economically disadvantaged populations.
Patients who pay for healthcare services out of their own pockets without insurance coverage, contributing to the payor mix and influencing financial considerations for healthcare organizations.
Entities other than the patient who assume responsibility for payment, including insurance companies and government programs, impacting the payor mix and revenue streams.
Entities that coordinate and manage healthcare services for individuals, often through contracts with healthcare providers, affecting the payor mix by influencing patient access and reimbursement models.
The payment received by healthcare providers from commercial insurance companies for services rendered, impacting the financial aspect of the payor mix.
A payment model where healthcare providers receive a fixed amount per patient per unit of time, irrespective of the services provided, influencing the financial dynamics of the payor mix.