The potential for nurse practitioners in health care reform.

Nurse practitioners as an underutilized resource for health reform: evidence-based demonstrations of cost-effectiveness.

Healthcare reform in 2009 was motivated by an imperative to reduce the relentless increase in spending on medical care. Many efforts to solve the problem focused on applying proven principles of evidence-based practice and cost-effectiveness to find the least-expensive way to produce a specific clinical service of acceptable quality. This paper combines economic analysis and reviews published l...

New Directions in Health-Care Reform: The Role of Nurse Practitioners

Managed health care, health maintenance organizations, and other cost in different parts of the country (Lancaster and Lancaster, 1993). Several economic realities will influence the future containment measures driven by the private sector in conjunction with scope and type of health care provided in the United States Congressionally funded initiatives are serving as the guiding forces in (U.S....

Nurse practitioners, canaries in the mine of primary care reform.

A strong and effective primary care capacity has been demonstrated to be crucial for controlling costs, improving outcomes, and ultimately enhancing the performance and sustainability of healthcare systems. However, current challenges are such that the future of primary care is unlikely to be an extension of the current dominant model. Profound environmental challenges are accumulating and are ...

Affordable Care Act: states move forward with health reform.

Nurse practitioners, certified nurse midwives, and physician assistants in physician offices.

The expansion of health insurance coverage through health care reform, along with the aging of the population, are expected to strain the capacity for providing health care. Projections of the future physician workforce predict declines in the supply of physicians and decreasing physician work hours for primary care. An expansion of care delivered by nurse practitioners (NPs), certified nurse m...