Nonphysician Clinicians Supply of Medical Services

The use of NPs and PAs in Nursing Homes is growing

Using data from the Online Survey Certification and Reporting system and Medicare Part B claims on the use of nurse practitioners (NPs) and physician assistants (PAs) between 2000 and 2010, a paper by Intrator et al. (2015) finds:

[Nursing homes] NHs using any NPs/PAs increased from 20.4 to 35.0 percent during 2000–2010. Average NP/PA [visit per bed year] VPBY increased from 1.0/0.3 to 3.0/0.6 during 2000–2010. Average number of NPs/PAs per NH increased from 0.2/0.09 to 0.5/0.14 during 2000–2010. The impact of state scope-of-practice regulations was mixed.

Future research should investigate how the use of NPs and PAs affected both the quality of care patients receive and the cost of care.

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