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Nurses Rap Payment Models Recommended by AMA

John Commins, for HealthLeaders Media, November 20, 2013

A recommendation from the American Medical Association calls for physicians to determine how care teams are paid. The American Association of Nurse Practitioners calls the AMA's link of reimbursements to physician-led teams "anti-competitive."

The American Medical Association House of Delegates this week adopted recommendations for creating payment structures for physician-led team care delivery models with physicians determining who gets paid and how much.

"The success rate of physician-led team-based models of care has been proven time and again by trusted industry leaders like the Mayo Clinic, Geisinger Health System, Intermountain Healthcare and Kaiser Permanente," AMA President Ardis D. Hoven, MD, said in prepared remarks.

"In the words of Dr. William Mayo, 'It has become necessary to develop medicine as a cooperative science: the clinician, the specialist, and the laboratory workers uniting for the good of the patient.' The AMA and the broader physician community firmly believe that this approach represents the future of health care delivery in America."

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6 comments on "Nurses Rap Payment Models Recommended by AMA"


Jon Burroughs (11/24/2013 at 9:06 PM)
It is not either/or, it is and. In New Hampshire, nurse practitioners can work independently of physicians but choose to work collaboratively with them due to their interdependent skills and areas of expertise. One is not better than another; each brings different skills and perspectives that are equally valuable to the patient.

Brad Thornton (11/22/2013 at 8:23 AM)
Speaking as a long time nurse and less time Administrator I see mid-level and MD performance comparisons all day long. There is a constant and predictable difference in outcomes and costs in favor of the MD. However, this "clinical" competence does NOT make them a strong leader, nor does it make them effective in their management of staff or mid-levels. My experience says we need some degree of mid-level oversight but, of equal importance in the process, physicians must learn leadership and management skills....bt

Jeff angel (11/22/2013 at 4:22 AM)
Let me sum up a physician versus mid-level: depth and breadth of training, not to mention rigors of training that weed out the lazy and the ones who cannot think when tired, etc I see unnecessary tests and wrong treatment plans by midlevels nearly everyday. Like it or not, there is a big difference in training. Studies have shown midlevels order more tests/have higher costs. There is nothing wrong with supervision and collaboration. Its better care and nothing but jealousy to not want help!! Lets work together...with appropriate supervision by leaders who have more training.