🚀 Fastest-growing Health Career 2022-2032: Nurse Practitioner Expected growth rate: +38% There are far more Family Nurse Practitioners (FNPs) than Family Medicine Physicians (FMPs) in many parts of the country. Yubin Park, PhD's chart shows the ratio of FNPs to FMPs at the county level, and what's particularly interesting about this map is that if you overlaid a map of states that allow Full Practice Authority for Nurse Practitioners, you would see that in many states it's actually an inverse match. That is, states that impose Reduced or Restricted Practice (the strongest restrictions) on NPs are also the ones where there are far more NPs than doctors - the Midwest and Southeast being the main areas of restriction. (Texas and California are also Restricted Practice states.) 🗺 Nurse Practitioners are granted Full Practice Authority in 27 states, which allows them to work autonomously and to operate independent practices. Check out the comments for a map of the practice authority restrictions in every US state! So, what does Full Practice Authority for NPs mean for patients, providers, and health plans? 👩⚕️More holistic, personalized healthcare that can meet patients where they are 💸 Lower costs - reduced hospitalizations, decreased total cost of care 💪 Better health - improved outcomes, healthier + happier patients In areas where access to primary care is hard to come by, it's especially important to allow medical providers to practice at the top of their license. At Greater Good Health, we are committed to empowering NPs to do work that fulfills them every day. This is what we mean when we say "healthcare for the greater good". #nursepractitioner #valuebasedcare #healthcareforthegreatergood
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FNP/FMP ratios for UnitedHealthcare As I parsed a few gigantic in-network rate files for UnitedHealthcare, I debated what other fun stuff I could investigate using the dataset. Then, I decided to look at the geographic profiles of their in-network providers. First, I linked the in-network provider data with the National Plan & Provider Enumeration System (NPPES) database. At this point, when I counted the primary taxonomies (from NPPES) of the providers, the most prevalent taxonomy was Family Nurse Practitioner (FNP), followed by Family Medicine Physician (FMP). After looking at these two taxonomies, I became curious about the FNP/FMP ratios across the counties. So, I linked a ZIP-to-County (FIPS) crosswalk file, forked one of the Observable notebook examples, and edited the notebook to show the new data file [1]. Please click this link to play with the map: https://lnkd.in/ed-TQx4k The map below shows the number of Family Nurse Practitioners contracted with UnitedHealthcare per one UNH-contracted Family Medicine Physician. As can be seen, some counties have four or five times more contracted NPs than Family Medicine Physicians. I didn't do thorough research on it, but many of those counties seem like those states that give more power to NPs. On the other hand, we see few contracted NPs on the West Coast. However, things may look different in a couple of years as some states plan to provide more independence to NPs. I wonder if this pattern holds up with other private payers and Medicare. Furthermore, does this pattern affect the negotiated rates for states with more FNPs than FMPs? How does this impact care delivery models and value-based care? I have more questions than answers, for sure. [1] https://lnkd.in/ed-TQx4k #valuebasecaredesign #healthcareanalytics #morequestionsthananswers #healthcaredata #opendata #pricetransparency
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1moSome more state-by-state information on Nurse Practitioner practice authority, including states that are most friendly to NPs: https://www.bartonassociates.com/blog/best-states-for-nurse-practitioner-nps/#:~:text=Nurse%20Practitioners%20can%20practice%20independently,Dakota%2C%20Oregon%2C%20Rhode%20Island%2C