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Provision of evaluation and management visits by nurse practitioners and physician assistants in the USA from 2013 to 2019: cross-sectional time series study

Objective To examine the proportion of healthcare visits are delivered by nurse practitioners and physician assistants versus physicians and how this has changed over time and by clinical setting, diagnosis, and patient demographics.

Design Cross-sectional time series study.

Setting National data from the traditional Medicare insurance program in the USA.

Participants Of people using Medicare (ie, those older than 65 years, permanently disabled, and people with end stage renal disease), a 20% random sample was taken.

Main outcome measures The proportion of physician, nurse practitioner, and physician assistant visits in the outpatient and skilled nursing facility settings delivered by physicians, nurse practitioners, and physician assistants, and how this proportion varies by type of visit and diagnosis.

Results From 1 January 2013 to 31 December 2019, 276 million visits were included in the sample. The proportion of all visits delivered by nurse prac ....

United States , Laura Barrie Smith , David Auerbach , Austin Frakt , Haidena Huskamp , Sadiqy Patel , Hannah Neprash , Ateev Mehrotra , Michaell Barnett , Hannaho James , Rebecca Shyu , Setting National , Us Department Of Veterans Affairs , Harvard Medical School , Clinical Classification Software Refined , Bureau Of Labour Statistics , National Institute Of Mental Health , American Association Of Nurse Practitioners , Barrie Smith , Labour Statistics , American Association , Nurse Practitioners , Medical School , Medicare Advantage , Harvard Medical , National Institute ,

Study finds threat to care coordination for people eligible for both Medicare and Medicaid

Study finds threat to care coordination for people eligible for both Medicare and Medicaid
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Austin Frakt , Yanlei Ma , Jose Figueroa , Jessica Phelan , Health Affairs , Department Of Health , Medicare Advantage , Dual Eligible Special Needs Plan , Public Health , Health Policy , Dual Eligible Special Needs ,

Competitive Markets in Health Care: The Next Revolution

Over the course of the past several decades, federal and state lawmakers have proposed a variety of initiatives to reform America’s health care system and reduce costs. One idea has been to instill competition in the health care markets to enable the industry to operate more like a traditional market. ....

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