Payer Typology Committee

Purpose | Description of Activities | Products | Founded | Minutes

In the Spotlight Payer Type Webinar Presentation from Web Informational Forum on March 26, 2008 Users Guide for Source of Payment Typology Send us your comments and questions on the Source of Payment Typology Source of Payment Typology (Updated October 2007) Source of Payment Typology Fact Sheet (Updated October 2007) Payer Typology: What You Need to Know Payer Typology Implementation Pilots

Purpose

The purpose of the Payer Typology Committee is to create and refine a payer type standard to allow consistent reporting of payer data to public health agencies for health care services and research

Description of Activities

A payer standards that meets the goals of the committee will allow for consistent comparison of the payment category from various data sets and across different types of providers, will be flexible, expandable and allow for different levels of details, and will be one that all providers can use.

Need for Payer Typology

• There is currently no national standards for classifying and reporting source of payment data;

• ASC X12N 837 (Health care Claims, including encounter information and coordination of benefits) categories in the subscriber section are currently neither mutually exclusive nor comprehensive. For example, there is no X-12 differentiation of Medicaid managed and non-managed care, or differentiation among different types of BC/BS plans;

• The ability to compare source of payment data across databases is critical to policymakers and researchers interested in examining effects of payment policy.

Products

The Payer Typology Committee created a Typology for reporting and analyzing Payer data. Called the "Source of Payment Typology," the Committee developed a payer typology for public health and research that is flexible and expandable and that allows for different levels of detail. Modeled loosely after the ICD typology for classifying medical conditions, the typology identifies broad Payer categories with related subcategories that are more specific. This format provides States with flexibility, as they can add more specific codes as needed and roll these up into an aggregate broader category for comparative analyses across payers and locations.

The Committee developed a fact sheet for more information on the purpose and uses of the Payment Typology. Please click here to view the fact sheet.

Additionally, please click here to view the Source of Payment Typology Charter.

Founded

July 20, 2000

Minutes

C&M Summary, Oct 23, 2007 (PDF, 3 pages/20KB)
July 17, 2007 (PDF, 1 pages/66KB)
C&M Summary, May 16, 2007 (PDF, 5 pages/28KB)
January 4, 2007 (PDF, 2 pages/23KB)
November 2, 2006 (PDF, 5 pages/46KB)
C&M Summary, October, 2006 (PDF, 8 pages/70KB)
October 19, 2006 (PDF, 4 pages/34KB)
April 18, 2006 (PDF, 2 pages/14KB)
March 6, 2006 (PDF, 4 pages/21KB)
November 21, 2005 (PDF, 4 pages/21KB)

Co-Chairs

Amy Bernstein, ScD
Chief
Analytic Studies Branch
OAEHP National Center for Health Statistics
zt11@cdc.gov

Judy Parlato, MBA, BSN, RN
Clinical Advisor
Health Systems Analysis Group
Massachusetts Division of Health Care Finance
Judy.Parlato@state.ma.us

List of Members of the Payer Typology Committee

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