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Payer Perspective

Meaning

Payer Perspective is the specialized economic evaluation framework utilized by entities responsible for financing healthcare services, such as health insurance companies, managed care organizations, and government health programs. This viewpoint focuses primarily on the cost-effectiveness and budgetary impact of a medical intervention, such as a new hormonal therapy, considering the financial expense to the organization rather than the individual patient or society as a whole. It is a critical determinant in formulary decisions and ultimately influences patient access to specific treatments.