Comparing the Cost of Care Provided to Medicare Beneficiaries Assigned to Primary Care Nurse Practitioners and Physicians

dc.contributor.authorPerloff, Jennifer
dc.contributor.authorDesRoches, Catherine M
dc.contributor.authorBuerhaus, Peter I.
dc.date.accessioned2017-02-14T23:05:26Z
dc.date.available2017-02-14T23:05:26Z
dc.date.issued2016-08
dc.description.abstractObjective. This study is designed to assess the cost of services provided to Medicare beneficiaries by nurse practitioners (NPs) billing under their own National Provider Identification number as compared to primary care physicians (PCMDs). Data Source. Medicare Part A (inpatient) and Part B (office visit) claims for 2009-2010. Study Design. Retrospective cohort design using propensity score weighted regression. Data Extraction Methods. Beneficiaries cared for by a random sample of NPs and primary care physicians. Principal Findings. After adjusting for demographic characteristics, geography, comorbidities, and the propensity to see an NP, Medicare evaluation and management payments for beneficiaries assigned to an NP were $207, or 29 percent, less than PCMD assigned beneficiaries. The same pattern was observed for inpatient and total office visit paid amounts, with 11 and 18 percent less for NP assigned beneficiaries, respectively. Results are similar for the work component of relative value units as well. Conclusions. This study provides new evidence of the lower cost of care for beneficiaries managed by NPs, as compared to those managed by PCMDs across inpatient and office-based settings. Results suggest that increasing access to NP primary care will not increase costs for the Medicare program and may be cost saving.en_US
dc.description.sponsorshipRobert Wood Johnson Foundation; Gordon and Betty Moore Foundation; Johnson and Johnson's Campaign for Nursing's Futureen_US
dc.identifier.citationPerloff, Jennifer, Catherine M DesRoches, and Peter Buerhaus. "Comparing the Cost of Care Provided to Medicare Beneficiaries Assigned to Primary Care Nurse Practitioners and Physicians." Health Services Research 51, no. 4 (August 2016): 1407-1423. DOI:https://dx.doi.org/10.1111/1475-6773.12425.en_US
dc.identifier.issn0017-9124
dc.identifier.urihttps://scholarworks.montana.edu/handle/1/12608
dc.language.isoen_USen_US
dc.titleComparing the Cost of Care Provided to Medicare Beneficiaries Assigned to Primary Care Nurse Practitioners and Physiciansen_US
dc.typeArticleen_US
mus.citation.extentfirstpage1407en_US
mus.citation.extentlastpage1423en_US
mus.citation.issue4en_US
mus.citation.journaltitleHealth Services Researchen_US
mus.citation.volume51en_US
mus.data.thumbpage10en_US
mus.identifier.categoryHealth & Medical Sciencesen_US
mus.identifier.doihttps://dx.doi.org/10.1111/1475-6773.12425en_US
mus.relation.collegeCollege of Nursingen_US
mus.relation.departmentNursing.en_US
mus.relation.universityMontana State University - Bozemanen_US

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