Effects of Regulation and Payment Policies on Nurse Practitioners’ Clinical Practices
Barnes H, Maier CB, Altares Sarik D, Germack HD, Aiken LH, McHugh MD (2017)
Medical Care Research and Review 74(4): 431-451.
Zeitschriftenaufsatz
| Veröffentlicht | Englisch
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Autor*in
Barnes, Hilary;
Maier, Claudia BettinaUniBi ;
Altares Sarik, Danielle;
Germack, Hayley Drew;
Aiken, Linda H.;
McHugh, Matthew D.
Abstract / Bemerkung
Increasing patient demand following health care reform has led to concerns about provider shortages, particularly in primary care and for Medicaid patients. Nurse practitioners (NPs) represent a potential solution to meeting demand. However, varying state scope of practice regulations and Medicaid reimbursement rates may limit efficient distribution of NPs. Using a national sample of 252,657 ambulatory practices, we examined the effect of state policies on NP employment in primary care and practice Medicaid acceptance. NPs had 13% higher odds of working in primary care in states with full scope of practice; those odds increased to 20% if the state also reimbursed NPs at 100% of the physician Medicaid fee-for-service rate. Furthermore, in states with 100% Medicaid reimbursement, practices with NPs had 23% higher odds of accepting Medicaid than practices without NPs. Removing scope of practice restrictions and increasing Medicaid reimbursement may increase NP participation in primary care and practice Medicaid acceptance.
Erscheinungsjahr
2017
Zeitschriftentitel
Medical Care Research and Review
Band
74
Ausgabe
4
Seite(n)
431-451
ISSN
1077-5587
eISSN
1552-6801
Page URI
https://pub.uni-bielefeld.de/record/2982296
Zitieren
Barnes H, Maier CB, Altares Sarik D, Germack HD, Aiken LH, McHugh MD. Effects of Regulation and Payment Policies on Nurse Practitioners’ Clinical Practices. Medical Care Research and Review. 2017;74(4):431-451.
Barnes, H., Maier, C. B., Altares Sarik, D., Germack, H. D., Aiken, L. H., & McHugh, M. D. (2017). Effects of Regulation and Payment Policies on Nurse Practitioners’ Clinical Practices. Medical Care Research and Review, 74(4), 431-451. https://doi.org/10.1177/1077558716649109
Barnes, Hilary, Maier, Claudia Bettina, Altares Sarik, Danielle, Germack, Hayley Drew, Aiken, Linda H., and McHugh, Matthew D. 2017. “Effects of Regulation and Payment Policies on Nurse Practitioners’ Clinical Practices”. Medical Care Research and Review 74 (4): 431-451.
Barnes, H., Maier, C. B., Altares Sarik, D., Germack, H. D., Aiken, L. H., and McHugh, M. D. (2017). Effects of Regulation and Payment Policies on Nurse Practitioners’ Clinical Practices. Medical Care Research and Review 74, 431-451.
Barnes, H., et al., 2017. Effects of Regulation and Payment Policies on Nurse Practitioners’ Clinical Practices. Medical Care Research and Review, 74(4), p 431-451.
H. Barnes, et al., “Effects of Regulation and Payment Policies on Nurse Practitioners’ Clinical Practices”, Medical Care Research and Review, vol. 74, 2017, pp. 431-451.
Barnes, H., Maier, C.B., Altares Sarik, D., Germack, H.D., Aiken, L.H., McHugh, M.D.: Effects of Regulation and Payment Policies on Nurse Practitioners’ Clinical Practices. Medical Care Research and Review. 74, 431-451 (2017).
Barnes, Hilary, Maier, Claudia Bettina, Altares Sarik, Danielle, Germack, Hayley Drew, Aiken, Linda H., and McHugh, Matthew D. “Effects of Regulation and Payment Policies on Nurse Practitioners’ Clinical Practices”. Medical Care Research and Review 74.4 (2017): 431-451.