The Affordable Healthcare Act promotes preventative health care for Americans and in return increases the number of individuals taking improved measures of precaution when it comes to their health. The utilization of mid-level practitioners, such as nurse practitioners and physician assistants would progressively benefit the delivery of primary care. NPs and PAs are more cost effective, provide coverage for the increasing amount of new people requiring health coverage, and require less liability risk cost when compared to a physician’s rate. According to Shell (2013), “Partly driving this change is the Affordable Care Act (ACA) which will extend health care coverage to approximately 30 million more individuals, most of whom have not been …show more content…
According to Garment (2013), “The American Association of Medical Colleges (AAMC) estimates that the U.S. will face a physician shortage of over 90,000 physicians by 2020; a figure that’s expected to reach over 130,000 by 2025” (p.4). The increasing amount of money required for health care services from a physician is a driving force to pursue alternative ways of receiving primary care. According to The American Association of Nurse Practitioners (2013), “NPs in a physician practice potentially decreased the cost of patient visits by as much as one third, particularly when seeing patients in an independent, rather than complementary, manner” (p. 2). NPs are maintaining the standard of care and for a lesser amount for patients to pay. Mid-level practitioners are completing the same amount of work and improving the quality of care. According to Garment (2013), “However, decades of studies have demonstrated that, when permitted to practice to the full extent of their training, NPs and Pas can perform a majority of the tasks that physicians do while providing the same quality of care” (p. 2). In addition to providing the same standard of care for less money, there is a reduced salary expense when going from a base physician salary to a mid-level
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Health care providers were greatly impacted as HIPAA started implementing and improving healthcare. For instance, “ As providers, group practices are likely to see their volume of patients increase as more employees retain coverage as required by the act” (Mathews, sub-para 5, 1997). With more coverage for patients, it encourages patients to use their insurance and keep themselves healthy without overthinking or worry. Doctors are now more likely to be able
Prior to the implementation of the Affordable Care Act (ACA), few people anticipated employer-provided health care would disappear as a major player in the United State healthcare arena. However, ACA adoption and has put more than 169 million employees at risk for losing their workplace coverage. Several studies indicate employer-based coverage will decline rapidly over the next decade as the traditional US system is displaced by the healthcare exchange system. While consumers grapple with finding affordable coverage options and providers adjust to the new norms, there is another wrinkle in the mix. In January, Health and Human Services (HHS) Secretary Sylvia M. Burwell announced the agency's push toward value-based and alternative reimbursement models.
With the ongoing healthcare demands and shortages, the appropriate role and responsibilities of the advanced practice registered nurse (APRN) will continue to be a controversial debate. There were many points addressed in your post that I agree and don’t agree with. It is most certainly not arguable that physicians do endure a longer, more intense education. I personally believe their role as a hospitalist is valuable and should never be discredited for their knowledge and expertise. However, I also believe that they are doing their patients a disservice if they are being overworked due to provider shortages.
APA Annotated Bibliography Andrus, L. H. & Fenley, M. D. (1976). Evolution of a family nurse practitioner program to improve primary care distribution, Journal of Medical Education, 51, 4, 317-324. (E) This article examines the role of the Family Nurse Practitioner in the delivery of primary care in California. Bullough, B. (1974).
Fast-forward almost seven years since the enactment of the ACA, and the percentage of uninsured adults in the United States has dropped over 3%, as roughly twenty million people are currently enrolled in some sort of
It seems like most the time when entering our primary care physician’s office, it is not the doctor we get to see. Due to the physician shortages, most of the time, we mainly see the physician assistant. Physician assistants have all the qualifications for diagnosing illnesses and developing treatment plans. According to Smith-Barrow, Physicians Assistants can do many of the same things that a general practice physician can.
APRN’s have more access to EHR. For example, they have access to pictures of MRI, Echo and x-rays. Business/Finance Family Nurse Practitioners play a significant role in delivering cost effective health care to the community by emphasizing more on healthy life styles, preventive health care and provide better primary care compared to physicians by listening to the patients and spending more time with
There is a noticeable gap in the supply for patients and demand for health care providers. Collaborating with fellow physician assistants, researching new ideas and focusing on new strategies for care in areas can help close this gap. Through my experiences, I have noted the need for support in patient care, and thus arises the question of should there be a requirement to enter the health care system through a gatekeeper. The overwhelming distance seen in the lack of professionals able to meet the demands of growing number of patients, eliminates the possibility of receiving adequate care. Overcrowded halls, overflowing rooms does not help balance the requirement for sufficient support.
Interviewing physicians with prior practices, there was an understanding of where this sector was headed. Doctor Prem Gulati had his own private practice for several years. He fought health care reform and survived the strangle hold that community hospitals had on him, but folded under years and years of hospital expansion. He was losing patient volume to branch clinics, and could not keep up, so in the end he ended up working for the company that eventually bought his. This is not a bad thing, for it rids one of any stress owning a company and at the end of the work week there is a check waiting, yet there is a growing concern for quality of care in which hospital expansion can likely
“Healthcare Reform 101,” written by Rick Panning (2014), is a wonderful article that describes, in an easy-to-understand language, the Patient Protection and Affordable Care Act, signed into law March 23, 2010. The main goal of the Patient Protection and Affordable Care Act was to provide affordable, quality healthcare to Americans while simultaneously reducing some of the country’s economic problems. Two areas will be covered throughout this paper. The first section will include a summary of the major points and highlights of Panning’s (2014) article, including an introduction to the ACA, goals of the signed legislation, provided coverage, and downfalls of the current healthcare system. The second part will be comprised of a professional
The Affordable Care Act: Bad For Some, Great For Millions For sometime, many US citizens have not had the resources to acquire an adequate health insurance plan. Although faced by many oppositions, the US government has found a solution, The Affordable Care Act. The Affordable Care Act, also known as “Obamacare”, is a US healthcare reform law that focuses mainly on providing more Americans with access to an affordable health insurance. The Affordable Care Act is said to expand the affordability, quality, and availability of private and public health insurance through consumer protections, regulations, subsidies, taxes, insurance exchanges, and other reforms. Signed into law by President Obama in March 2010, hence the nickname “Obamacare”, the
Health care should not be considered a political argument in America; it is a matter of basic human rights. Something that many people seem to forget is that the US is the only industrialized western nation that lacks a universal health care system. The National Health Care Disparities Report, as well as author and health care worker Nicholas Conley and Physicians for a National Health Program (PNHP), strongly suggest that the US needs a universal health care system. The most secure solution for many problems in America, such as wasted spending on a flawed non-universal health care system and 46.8 million Americans being uninsured, is to organize a national health care program in the US that covers all citizens for medical necessities.
Nurse Practitioner Interview I spoke with a friend’s sister, a recent graduate DNP, who works as a women’s health NP at a public health clinic system in Utah. Role The role of the women’s health care nurse practitioner can vary widely depending on the setting. J. Yale sees patients for both annual visits as their main care provider and for gynecological issues (personal communication, September 9, 2016). “Many people don’t realize you can do annual visits,” she said, “for example, I can treat someone for high blood pressure in the clinic, in an office setting.”
Base your answer on the information from the article. The ACA has successfully accomplished their goal by making healthcare accessible to everyone. Unfortunately, the cost remains high and most Americans are unable to afford insurance. This rationality is due to healthy American’s unable to qualify for premium tax credit and an increase in their premiums.