• Principle Healthcare Associates


    Principle Healthcare Associates is an expert resource and dedicated advocate for Nurse Practitioner, Physician Assistant, Physician and Healthcare Executive job seekers. With many years of recruiting experience, we deliver strategies to help clients identify diamonds in the rough and candidates stand head and shoulders above the competition.

    Contact us at PHA email and be sure to visit us at PHA Website

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Effective Solution for Lowering Healthcare Costs?

Effective Solution for Lowering Healthcare Costs?

In lieu of President Obama’s comments regarding healthcare cuts, can we find additional ways to reduce costs without sacrificing quality?  According to Marilyn Edmunds, PhD, CRNP & Adjunct Clinical Professor, Johns Hopkins University School of Nursing, the following can be done:

  • Allowing the substitution of NPs for more-expensive health professionals can reduce the costs of producing healthcare without diminishing quality in the process.
  • Policies that constrain appropriate input substitution need to be changed as quickly as possible. Money that could be reallocated to meeting reform goals is being wasted as long as rules and regulations hinder full use of less expensive, equally qualified NPs.
  • Economic and clinical gains can be realized by allowing NPs to be independent caregivers and team leaders for a large number of health services and settings.
  • The United States is paying a high price for current policies that prevent NPs from practicing within their full, legally defined scopes of practice.
  • Cost-effectiveness analysis clearly supports reversing rules and regulations that deny reimbursement to NPs while paying more expensive health professionals for clinical services that achieve similar results.
  • Several decades of experience with NPs and dozens of published studies show that quality is not a problem with reforms that would allow NPs to provide more services. Nurse practitioners care for patients at least as well as physicians in many clearly defined areas of nursing and medical practice.
  • Every study published in peer-reviewed journals has reinforced the Office of Technology Assessment‘s conclusions in 1981[1] NPs can be substituted for physicians in a significant portion of medical services — ranging from 25% in some specialty areas to 90% in primary care — with at least similar outcomes. Not a single study has found that NPs provide inferior services within the overlapping scopes of licensed practice.
  • Those who favor restricting the use of NPs in overlapping areas of clinical competency have no data to support their position.
  • Patients like the care they receive from NPs at least as much as the care they receive from physicians. Consumers’ overall appreciation of NPs is extremely high.
  • The use of NPs can save money in accordance with another important goal of health reform: reducing the direct and indirect cost of professional liability (eg, malpractice claims).
  • Collaborative, team-based approaches to care — including teams led by NPs — should be actively promoted to reduce overall spending on healthcare.
  • The full integration of NPs into daily practice as substitutes for other qualified health professionals in many clinical areas will also enhance access. Nurse practitioners treat patients in many settings where other qualified independent caregivers are scarce.

Principle Healthcare Associates is an expert resource and dedicated advocate for Nurse Practitioner, Physician Assistant, Physician and Healthcare Executive job seekers. With many years of recruiting experience, we deliver strategies to help clients identify diamonds in the rough and candidates stand head and shoulders above the competition.

Contact us at PHA email and be sure to visit us at PHA Website

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