I wonder what the effect insurance reimbursement systems has on resource allocation for those patients who have traditionally experienced health care inequity prior to the PCMH model? Tao, et. al (2016) found that empirical studies are further needed to address how resource allocation and reimbursement systems should be designed in order to best serve those with greater health care needs and reduce health care inequalities.
Tao,W, et al.(2016)The impact of reimbursement systems on equity in access and quality of primary
care: A systematic literature review. BMC Health Services Research 16:542 DOI 10.1186/s12913-016-1805-8
I need you to read my peer post and respond to with scholarly references. Thank you.
As we all know that we do not have the best healthcare system in this country, having healthcare that is drifting towards a value-based service model that guides care in a primary provider to concentrate on continuity, coordination, and health disease prevention. On a personal note, I always feel having a value-based pay system will reinforce healthcare providers to provide quality care to their patients. Family practice nurse practitioners are very well fit in providing that type of care, for an NP’s primary role of care is based on a patient-centered model. Many physicians are leaving primary and focus more on specialized care because they do not equip to move towards value-based payment, according to Cuenca, 2017. Because of the patient-centered foundation that nursing has, an NP will have no problem building relationships with their patients. Once a rapport is established with a patient, it is easier to assume compliance with preventative care. Nurse practitioners are more compassionate to patient needs and concerns (Shi, Lee, Chung, Liang, Lock, & Sripipatana, 2017).
Therefore, nurse practitioners will have better outcomes than physicians. I have a co-worker who said that she would not trade her nurse practitioner for a physician because her nurse practitioner is extensive with her assessment and takes the time to review all lab results and point out any concerns. The relationships established between nurse practitioners and their patients will serve practitioners well in patient satisfaction survey scores. Nurse practitioners play a significant role in the office as well as the healthcare system general. NPs provide exceptional care at a lower cost, which allows more patients to seek health care. With a value-based pay system, NPs will bring and keep more patients in the clinic. Because the NP’s foundation is based on a patient-centered model, the satisfactory quality care levels will increase (Cuenca, 2017).
Nurse practitioners play an essential role in the healthcare industry. No matter how one looks at it. NPs help to keep the cost down for the insurance companies by providing disease prevention teaching. NPs bring more patients to the clinic, which brings more revenue to the office. Nurse practitioners are well trained and educated to provide excellent care and get one-third to one-half that a physician receives per hour. According to White et al. 2017, an NP’s education is only 20% less than a physician, and AANP (2015) said that the entire NP program costs less than one medical school year for physicians. Therefore, hiring NPs has the most significant economic advantages for the healthcare industries. The assigned articles verified that NP’s contribute to increased revenue for private practice and hospitals because NPs’ ability to multi-task even brings more cost savings to the offices. My son has the same pediatric from birth for over 20 years. We probably saw the pediatrician only a few times when he was a baby. But he has multiple busy offices that run by nurse practitioners. Although a physician has more education than a nurse practitioner, there is no difference in the NP’s care. The clinical site that I currently go to runs NPs. The MD only sees patients one day a week. Hiring more NPs brings more patients in the office, Nps diminish the number of EP visits, which reduce the overall healthcare costs (AANP, 2015)
If I were asked in a job interview about nurse practitioners’ economic benefits, I would answer by saying that NP’s are considered mid-level providers, which have been a great benefit to physician-led practices (White et al., 2017). Mid-level providers have been employed in a variety of ways since their beginning. NPs can fill the role of a primary care physician. But The NP’s overall salary is about one third to one half that of a physician, which improves the clinic’s financial stability (White et al., 2017). NP’s enhance patient satisfaction by allowing patient same-day visits and providing instructions over the phone, better follow up care, and decreasing ER visits and hospital admissions (AANP, 2015).