Systematic review addressing nurse practitioner reimbursement policy: Part one of a four-part series on critical topics identified by the 2015 nurse practitioner research agenda.
Background and purpose: The growth and sustainability of nurse practitioners (NPs) requires transparent, fair and equitable reimbursement policies. Complicating this issue is variation in reimbursement policy within and across federal, state, and other payers. Even with explicit regulations, there r...
| Publicado en: | Journal of the American Association of Nurse Practitioners Vol. 30; no. 12; pp. 673 - 683 |
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| Autores principales: | , |
| Formato: | CEU research systematic review tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Dec2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=133606955&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 133606955 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23276886 FUCW jtl: Journal of the American Association of Nurse Practitioners issn: 23276886 maglogo: N pubinfo: dt: Dec2018 vid: 30 iid: 12 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 133606955 133606955 133606955 10.1097/JXX.0000000000000121 133606955 ppf: 673 ppct: 10 formats: tig: atl: Systematic review addressing nurse practitioner reimbursement policy: Part one of a four-part series on critical topics identified by the 2015 nurse practitioner research agenda. aug: au: Harkless, Gene Vece, Loretta affil: Department of Nursing, University of New Hampshire, Durham, New Hampshire; AANP Research Committee sug: subj: Insurance, Health, Reimbursement Health Policy Nurse Practitioners Human United States Education, Continuing (Credit) Systematic Review Medline CINAHL Database Cochrane Library Medicaid Scope of Nursing Practice Legislation and Jurisprudence Discrimination, Employment Credentialing Contracts Health Insurance Exchanges Research, Nursing ab: Background and purpose: The growth and sustainability of nurse practitioners (NPs) requires transparent, fair and equitable reimbursement policies. Complicating this issue is variation in reimbursement policy within and across federal, state, and other payers. Even with explicit regulations, there remain questions on how reimbursement policies are covertly operationalized in practice. This systematic review aims to identify knowledge gaps related to reimbursement policy issues and outlines recommendations for further research. Methods: Eight major databases were searched using terms including "nurse practitioner," "reimbursement," "policy," and "research," limited to the United States and inclusive of December 2006-September 2017. Articles meeting the inclusion criteria were analyzed for themes and gaps. Conclusion: The final review includes 17 articles identifying themes including state-determined Medicaid reimbursement and scope of practice legislation shapes NP clinical practice; NPs as identified primary care providers: credentialing and contracting; reimbursement parity; and "incident to" billing. Moreover, there is evidence of discriminatory policies that disadvantage NPs and limit their access to patients, direct billing, and direct reimbursement. Implications for practice: Future research needs to focus on outcomes of discriminatory, as well as supportive, reimbursement policies in organizations, and their influence on patient access and quality care. pubtype: Academic Journal doctype: CEU research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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