Related Experiment Videos
Third party reimbursement for nurses in advanced practice
Perspectives in Psychiatric Care
|January 1, 1991
Summary
Advanced practice nurses are cost-effective and provide quality care, but face challenges in educating stakeholders. Nurses must advocate for third-party reimbursement to realize their full potential in healthcare.
Area of Science:
- Nursing
- Healthcare Policy
- Health Economics
Background:
- Advanced practice nurses (APNs) offer cost-effective, quality patient care.
- Educating the public, legislators, and insurers about APN value is crucial.
- Barriers exist to APN reimbursement, impacting their role realization.
Purpose of the Study:
- To highlight the need for educating stakeholders on the value of APNs.
- To advocate for legislative and insurance support for APN services.
- To encourage nurses to actively pursue third-party reimbursement for advanced practice roles.
Main Methods:
- Legislative advocacy and stakeholder education.
- Personal narrative of a legislative struggle with an insurance provider.
- Call to action for professional nursing involvement.
Main Results:
- The author faced challenges in securing recognition and reimbursement from Blue Cross/Blue Shield.
- There is a demonstrated need for increased consumer, legislator, and insurer awareness of APN contributions.
- Active nursing advocacy is essential for overcoming reimbursement barriers.
Conclusions:
- Nurses in advanced practice roles are vital for cost-effective, quality healthcare delivery.
- Overcoming educational and legislative hurdles is necessary for APN practice expansion.
- Professional nursing advocacy is key to achieving equitable third-party reimbursement for APNs.