The phrase "private payers" refers to individuals or organizations who use their own money to pay for healthcare expenses, rather than relying on government or public funding sources. Full definition
«Based on available data, 3/5 national and 8/15 regional managed care organizations (MCOs) have denied / restricted coverage for Exondys 51, in line with our expectation of pushback from private payers,» said Jeffries analyst Gena Wang. (fortune.com)
We have now partnered with James Maskel and Jeff Gladd to take Personalized (root Cause) Medicine to high risk groups of private payer insurance funds. (kellybroganmd.com)
But drug makers say PBMs aren't transparent and don't pass savings onto consumers, which Merlo denies, adding, «That's why both public and private payers continue to count on PBMs as indispensable partners that help to manage drug trend.» (fortune.com)