Our new Healthcare system...for those who don't know

[2ndamendment]

Originally Posted by SaltERedneck

Primary care providers (MDs) will have less incentives than they did in the past. several things are correct about his argument.

1. you will see more of a push from NPs stepping into the primary care provider role. the increase in demand means more opportunity for clinics driven by NPs.
2. less reimbursement for services. which means MDs will have to specialize to make the money they were making. I dont think you will see a shortage in MDs. maybe less MDs accepting medicare and medicaid patients. There is no incentive to apply for this anymore which will then get pushed to a NP.
3. The hospital will suffer and soo will the patients. Less reimbursement = less incentives to treat. Some hospitals already provide services and make no money from it. you will see a shortage in these services if they fall into the negative. They will no longer offer these services with the reduced rates of reimbursement.

there are several PROS that people are overlooking in this reform. not saying i support it but I see both sides of the fence. This is just what I gather from the info I have read. With the amount of people getting insurance, it is a boost for NPs to take a step forward in private practice. States that have statutes in place for prescriptive authority may have to revamp those laws to meet the incoming demand. Dont see LA going that way bc the LSBN is a bunch of nazis lol.

You bring up a good point regarding PA's an NP's. Right now those who have the 'card' are flooding ER rooms for some type treatment. If these 'card' folks can be shifted to see PA's and NP's instead of MD's for their service might be ok. Leave the MD's to see legitimate working insurance paying patients only. Leaving MD's for more in depth medical care for those who work and pay insurance.

The insurance companies would make out well with a greater demand for more PA's and NP's in practice. I would imagine they would need malpractice type insurance as well.