The effects of nurse practitioner scope of practice laws on diabetic health care costs

Author:

Wallace Alexandra1,Bhai Moiz23ORCID,Hughes Danny R.4

Affiliation:

1. Georgia Institute of Technology Atlanta Georgia USA

2. University of Arkansas at Little Rock Little Rock Arkansas USA

3. University of Arkansas for Medical Sciences Little Rock Arkansas USA

4. Arizona State University Tempe Arizona USA

Abstract

AbstractType 2 Diabetes mellitus patients require regular monitoring and preventive care from healthcare professionals to avoid costly and potentially life‐threatening complications. One approach for expanding access to primary care for diabetic patients is to change scope of practice laws for nurse practitioners to allow full practice authority (FPA). We find that state‐level implementation of FPA reduces total health care costs for diabetics by approximately 20% in urban areas and reduces rural usage of advanced medical services for diabetics by about 10%. However, we see no effects of FPA on primary care claims, high A1c tests, or diabetic debridements.

Publisher

Wiley

Reference83 articles.

1. Improving efficiency in the health‐care system: removing anticompetitive barriers for advanced practice registered nurses and physician assistants;Adams E.K.;Hamilton Project Policy Proposal,2018

2. American Association of Nurse Practitioners. (2022)Scope of practice. Available from:https://www.aanp.org/advocacy/advocacy‐resource/position‐statements/scope‐of‐practice‐for‐nurse‐practitioners. [Accessed 25th May 2024].

3. Implications Of The Rapid Growth Of The Nurse Practitioner Workforce In The US

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