Payer: What it Means, How it Works, Examples (2024)

What Is a Payer?

The term payer refers to an entity that makes a payment to another entity. While the term payer generally refers to someone who pays a bill for products or services received, in the financial context, it often refers to the payer of an interest or dividend payment.

The term is also specifically used when discussing swap agreements. In an interest rate swap, the payer is the party who wants to pay a fixed interest rate and receive a floating rate of interest.

Key Takeaways

  • The term payer is used to describe any entity that issues a payment to another entity.
  • In the context of fixed-income instruments, a payer refers to the issuer of the debt; this may be a periodic coupon or interest payment that is made to the investor.
  • If you are a payer in an interest rate swap, it can be financially advantageous if you correctly predict that interest rates are going to climb.
  • The government is a payer on Treasury bonds, other U.S. government bonds, municipal bonds, foreign bonds, and mortgage-backed bonds.
  • Companies are payers when they pay dividends to their shareholders.

Understanding Payers

The term payer has many applications across finance. In a purchase agreement, the payer can be the person or company purchasing an item or service. The payee is the one receiving payment and often delivering that good or service. In the case of a dividend-paying stock, the payer is the issuer of the stock who is paying the investor the stock dividend.

In the case of fixed-income instruments, the issuer of the debt is the payer of periodic coupon or interest payments to the investor. In the case of an interest rate swap, the payer is the party that pays a fixed interest rate throughout the life of the swap.

In addition to considering the amount of yield they receive from payers, investors should also factor in their tax brackets.

In return, they receive a payment based on a floating interest rate. Being the payer in an interest rate swap can be useful if you think interest rates are going to go up. As the payer, you pay a fixed rate to the counterparty and receive from them a payment that can increase if interest rates increase. This would lead to a profitable position.

Types of Healthcare Payers

In the healthcare industry, a payer is an individual or organization that pays for the care services that an administrator provides to patients. The most common use of this term is concerning private insurance companies that provide their clients with health insurance plans and coverage for health-related services.

The three main types of healthcare payers are commercial, private, and government/public payers. Commercial payers are insurance companies that are publicly traded, private payers are private insurance companies, and government/public payers are government plans such as Medicaid and Medicare.

Medicare spending in 2021 was $900.8 billion.

Governments As Payers

In some cases, governments are payers, with various instruments, including the following types of vehicles:

  • Treasury bonds. These are issued by the federal government to finance its budget deficits. These are considered to be risk-free, and consequently, the payer offers the smallest yields.
  • Other U.S. government bonds. Issued by federal agencies like Fannie Mae and Ginnie Mae, yields are higher than Treasury yields, but interest on the bonds is taxable at both the federal and state levels.
  • Foreign bonds. Payers promise to pay back the principal and make fixed-interest payments in another currency. Exchange rates thus tend to determine how a foreign bond fund performs; more so than interest rates.
  • Mortgage-backed bonds. With a high face value of $25,000, their value drops when mortgage prepayments increase. Consequently, they don't benefit from declining interest rates, as other bonds do.
  • Municipal bonds. "Munis" are issued by U.S. states and local governments, in both high-yield and investment-grade and high-yield forms.

Examples of Stock Dividend Payers

A dividend-paying stock is a stock that provides its shareholders with an income payment on each share held. Each company can have a different dividend payment period; however, most dividend stocks pay quarterly.

Apple is a stock dividend-paying company that pays its dividends every quarter. A shareholder will receive a dividend payment four times a year from Apple. Apple's last dividend payment of $0.23 per share was made onNov 09, 2022.

What Is a Payer Swaption?

A payer swaption is also known as a put swaption. A put swaption on an interest rate swap allows an entity to pay a fixed interest payment and receive a floating interest payment. A put swaption is used by entities looking to benefit from an increase in interest rates whereby they would receive higher payments if rates were to go up.

What Is a Single-Payer Healthcare System?

A single-payer healthcare system is a form of universal healthcare whereby the cost of healthcare is paid by a single public entity, usually the government. Though the structure of a single-payer healthcare system can vary, it always stipulates that healthcare is provided by a public authority and not a private one.

What Is the Difference Between a Payer and a Provider?

In the healthcare industry, a payer is an entity that pays for the administration of healthcare services. An insurance company would be a prime example of a payer. A provider, on the other hand, is an entity that administers healthcare services, such as a hospital.

What Is a Third-Party Payer?

Third-party payers refer to entities that pay for medical expenses on behalf of a patient. Examples of third-party payers include insurance companies, governments, and employers.

What Does Medicare Secondary Payer Mean?

Medicare Secondary Payer (MSP) is when the Medicare program is not the primary payment responsibility, such as when another organization or entity has the responsibility of paying for medical treatment before Medicare. Medicare became the secondary provider of medical treatment in the 1980s, ensuring that healthcare costs shift first to private companies.

The Bottom Line

A payer is an individual or organization that makes payments. In finance, a payer is an entity making payments on investment products, such as bonds or dividends on stocks. In the healthcare industry, payers are the organizations providing payment for medical services.

Payer: What it Means, How it Works, Examples (2024)

FAQs

Payer: What it Means, How it Works, Examples? ›

A payer is an individual or organization that makes payments. In finance, a payer is an entity making payments on investment products, such as bonds or dividends on stocks. In the healthcare industry, payers are the organizations providing payment for medical services. Centers for Medicare and Medicaid Services.

What is an example of a payer? ›

Examples of payers include individuals; employers, unions and other entities that sponsor health plans; and state and federal governments that operate healthcare entitlement programs.

What are the four types of payers? ›

When it comes to who are the payers in healthcare, they're typically categorized in four ways: Health plans, payers, insurers, and payviders. A common misconception is that these types of payers are all synonymous with each other, but they're not exactly interchangeable terms.

What does payer type mean? ›

This term most often refers to health insurance companies, which provide customers with health plans that offer cost coverage and reimbursem*nts for medical treatment and care services. The three main different types of healthcare payors are government/public payors, commercial payors, and private payors.

Is the payer the person paying? ›

It is important to understand all the differences when it comes to payee vs payer, as the terms represent the two main parties In a financial transaction. The payer is the one making a payment, and the payee is the one receiving the payment.

What is a payer in healthcare examples? ›

Payers in the health care industry are organizations — such as health plan providers, Medicare, and Medicaid — that set service rates, collect payments, process claims, and pay provider claims. Payers are usually not the same as providers.

What are the two types of payer? ›

There are three different types of payers in the healthcare industry:
  • Government/Public. Government-funded health insurance plans like Medicaid and Medicare set amounts that they pay to healthcare providers. ...
  • Commercial. ...
  • Private.
May 31, 2023

What are the different types of payers? ›

There are many ways of categorising payers, with one useful way of understanding them being functional.
  • National Payers. National payers set the overall rules for reimbursed access to the market. ...
  • Regional Payers. ...
  • Local Payers. ...
  • Clinicians and KOLs. ...
  • Patients.

What are the two common payer types in healthcare? ›

Healthcare costs are paid for by private payers or public payers. Private payers are insurance companies and public payers are federal or state governments.

Who is considered the payer? ›

A healthcare payor (also called healthcare payer) is an organization that pays for the cost of healthcare services administered by a healthcare provider. Payors can be either government or private entities. Examples include commercial insurers and government programs like Medicare and Medicaid.

What is a payer code? ›

The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination.

What is a payer vs payee? ›

A payor (also referred to as a “payer”) is the party that is submitting payment in a financial transaction or obligation. Payor is not to be confused with payee, which is the person or party who receives payment. For instance, a payor would be the drawer of a check while the payee is the recipient.

What are payor services? ›

At base, a “payor” is the entity that pays for services rendered by a healthcare provider. The payor may be a commercial insurance company, government program, employer, or patient.

What do payers do? ›

The payer to a health care provider is the organization that negotiates or sets rates for provider services, collects revenue through premium payments or tax dollars, processes provider claims for service, and pays provider claims using collected premium or tax revenues.

What is the legal term for payer? ›

Payor is used interchangeably with “payer”. The person making the payment, satisfying the claim, or settling a financial obligation. For example, the person writing a check is the payor, or an employer paying their worker is the payor.

What does direct payer mean? ›

A quick definition of direct payment:

Direct payment is when someone pays another person or company without using anyone else in between. For example, if a parent pays child support directly to the other parent instead of going through the court, that is a direct payment.

Who is a payer? ›

pay·​er ˈpā-ər. variants or less commonly payor. ˈpā-ər (ˌ)pā-ˈȯr. : one that pays. especially : the person by whom a bill or note has been or should be paid.

Who is called payer? ›

In a financial transaction, the person paying money in exchange for an item, product, or service is known as the payor. Payors may also be called payers, and they are obligated to send dues or currency to the person providing a specific good or service.

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