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- Title
The Expanding Role of Nurse Practitioners in Home-Based Primary Care: Opportunities and Challenges.
- Authors
Wolff-Baker, Deborah; Ordona, Ron Billano
- Abstract
Approximately 93% of Medicare spending is for beneficiaries with multiple chronic conditions. Costs of poorly coordinated or delayed care for this vulnerable population are staggering--not just measured in dollars and cents, but in overall psychosocial burdens of poor health and diminished quality of life. Home-based primary care (HBPC) practices are an eff ective way to meet needs of frail older adults who fi nd it difficult, if not impossible, to leave home for medical care with an overall cost savings to Medicare. Nurse practitioners (NPs) provide more than 825,000 HBPC visits per year. Their training and education uniquely prepare them to address whole person aspects of health, including medical, psychosocial, and quality of life realms. Despite proven benefits of NPs providing HBPC, Medicare regulatory barriers disallow NPs from certifying or recertifying Medicare home health or certifying terminal illness for hospice patients. These barriers decrease patient access to timely care and increase Medicare costs.
- Subjects
CHRONIC disease treatment; DIAGNOSIS of dementia; HOME care services; EDUCATION of nurse practitioners; CONGREGATE housing; COST control; HOSPITAL emergency services; MEDICAL care; MEDICAL care costs; MEDICARE; NURSE practitioners; NURSES; NURSING practice; PATIENTS; PRIMARY health care; HEALTH insurance reimbursement; OCCUPATIONAL roles; PSYCHOSOCIAL factors; PSYCHOLOGY
- Publication
Journal of Gerontological Nursing, 2019, Vol 45, Issue 6, p9
- ISSN
0098-9134
- Publication type
Article
- DOI
10.3928/00989134-20190422-01