Kenneth P. Miller, RN, PhD, CFNP, FAAN, president of the American Association of Nurse Practitioners, responded to new American Medical Association recommendations (http://bit.ly/JfCfAj) that in team-based care models, physicians should be the lead on all teams and be the sole recipients of payment for integrated services.
The AMA continues to perpetuate care models that are based on an outmoded and ineffective hierarchy that no longer works, Miller said in a news release.
While AANP supports integrated models of care and reimbursement reform, we have grave concerns about tying reimbursement exclusively to physicians-led models and limiting innovation around care delivery models that meet the needs of patients and their communities. Reimbursement and licensure models like those proposed by the AMA limit care access and patient choice, and interfere with patients ability to continue to see preferred nurse practitioner providers.
As healthcare evolves, and providers and payers look to work together toward best deploying resources providing the right care at the right time, AANP calls on the AMA and all of organized medicine to leave behind this limiting model and expend its efforts and energy to serve the interests of patients.
Miller also noted that the AMA recommendations fail to acknowledge the recommendations inherent in the Institute of Medicines Future of Nursing report, which states that nurses should practice to the full scope of their education and training; and the certification standards that recognize nurse practitioners and other providers as leaders in providing healthcare.