Measuring Value and the Role Nurse Practitioners Play in Health Care
It’s a happy accident that this month we take a long look at value and the role nurses and nurse practitioners play in health care. True, our cover story and our Value-Based Tools department discusses value in terms of just how physicians should shoulder down-side risk. Our cover story points out that hardly anyone likes any of the current approaches to measuring value. Value-Based Tools reports that CMS insists that ACOs start taking on two-sided risk.
Enter nurse practitioners. We say: Enter nurse practitioners. Not yet, because as our story on these providers shows, many state laws prevent nurse practitioners from entering fully into primary care. Medical societies insist that they be tethered to doctors’ offices. NPs counter that they’re doing just fine in states that give them full scope of practice. A turf war, in which quality plays a central role.