Payment source and provider type in the US healthcare system

Joseph Benitez, Bettie Coplan, Richard W Dehn, Roderick S. Hooker

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Greater use of physician assistants (PAs) and nurse practitioners (NPs) to meet growing demand for healthcare in the United States is an increasingly common strategy to improve access to care and control costs. Evidence suggests that payment for services differs depending on the type of provider. This study sought to determine if the source of payment for a medical visit varies based on whether care is provided by a physician, PA, or NP. Data from the National Hospital Ambulatory Medical Care Survey (2006 through 2010) were analyzed. Physicians were proportionally more likely than NPs or PAs to provide care for medical visits compensated by private insurance or Medicare. Conversely, PAs and NPs were more likely to serve as providers of care for services with other payment sources such as Medicaid and out-of-pocket.

Original languageEnglish (US)
Pages (from-to)46-53
Number of pages8
JournalJournal of the American Academy of Physician Assistants
Volume28
Issue number3
DOIs
StatePublished - Mar 1 2015

Fingerprint

Physician Assistants
Nurse Practitioners
Delivery of Health Care
Health Care Surveys
Physicians
Cost Control
Medicaid
Medicare
Insurance

Keywords

  • healthcare
  • Medicare
  • nurse practitioner
  • payment
  • physician assistant
  • United States

ASJC Scopus subject areas

  • Nurse Assisting

Cite this

Payment source and provider type in the US healthcare system. / Benitez, Joseph; Coplan, Bettie; Dehn, Richard W; Hooker, Roderick S.

In: Journal of the American Academy of Physician Assistants, Vol. 28, No. 3, 01.03.2015, p. 46-53.

Research output: Contribution to journalArticle

Benitez, Joseph ; Coplan, Bettie ; Dehn, Richard W ; Hooker, Roderick S. / Payment source and provider type in the US healthcare system. In: Journal of the American Academy of Physician Assistants. 2015 ; Vol. 28, No. 3. pp. 46-53.
@article{a2f903ef01a042c39e8d78aa89bbd4c2,
title = "Payment source and provider type in the US healthcare system",
abstract = "Greater use of physician assistants (PAs) and nurse practitioners (NPs) to meet growing demand for healthcare in the United States is an increasingly common strategy to improve access to care and control costs. Evidence suggests that payment for services differs depending on the type of provider. This study sought to determine if the source of payment for a medical visit varies based on whether care is provided by a physician, PA, or NP. Data from the National Hospital Ambulatory Medical Care Survey (2006 through 2010) were analyzed. Physicians were proportionally more likely than NPs or PAs to provide care for medical visits compensated by private insurance or Medicare. Conversely, PAs and NPs were more likely to serve as providers of care for services with other payment sources such as Medicaid and out-of-pocket.",
keywords = "healthcare, Medicare, nurse practitioner, payment, physician assistant, United States",
author = "Joseph Benitez and Bettie Coplan and Dehn, {Richard W} and Hooker, {Roderick S.}",
year = "2015",
month = "3",
day = "1",
doi = "10.1097/01.JAA.0000460924.36251.eb",
language = "English (US)",
volume = "28",
pages = "46--53",
journal = "JAAPA : official journal of the American Academy of Physician Assistants",
issn = "1547-1896",
publisher = "American Academy of Physicians Assistants",
number = "3",

}

TY - JOUR

T1 - Payment source and provider type in the US healthcare system

AU - Benitez, Joseph

AU - Coplan, Bettie

AU - Dehn, Richard W

AU - Hooker, Roderick S.

PY - 2015/3/1

Y1 - 2015/3/1

N2 - Greater use of physician assistants (PAs) and nurse practitioners (NPs) to meet growing demand for healthcare in the United States is an increasingly common strategy to improve access to care and control costs. Evidence suggests that payment for services differs depending on the type of provider. This study sought to determine if the source of payment for a medical visit varies based on whether care is provided by a physician, PA, or NP. Data from the National Hospital Ambulatory Medical Care Survey (2006 through 2010) were analyzed. Physicians were proportionally more likely than NPs or PAs to provide care for medical visits compensated by private insurance or Medicare. Conversely, PAs and NPs were more likely to serve as providers of care for services with other payment sources such as Medicaid and out-of-pocket.

AB - Greater use of physician assistants (PAs) and nurse practitioners (NPs) to meet growing demand for healthcare in the United States is an increasingly common strategy to improve access to care and control costs. Evidence suggests that payment for services differs depending on the type of provider. This study sought to determine if the source of payment for a medical visit varies based on whether care is provided by a physician, PA, or NP. Data from the National Hospital Ambulatory Medical Care Survey (2006 through 2010) were analyzed. Physicians were proportionally more likely than NPs or PAs to provide care for medical visits compensated by private insurance or Medicare. Conversely, PAs and NPs were more likely to serve as providers of care for services with other payment sources such as Medicaid and out-of-pocket.

KW - healthcare

KW - Medicare

KW - nurse practitioner

KW - payment

KW - physician assistant

KW - United States

UR - http://www.scopus.com/inward/record.url?scp=84954031096&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84954031096&partnerID=8YFLogxK

U2 - 10.1097/01.JAA.0000460924.36251.eb

DO - 10.1097/01.JAA.0000460924.36251.eb

M3 - Article

C2 - 25710404

AN - SCOPUS:84954031096

VL - 28

SP - 46

EP - 53

JO - JAAPA : official journal of the American Academy of Physician Assistants

JF - JAAPA : official journal of the American Academy of Physician Assistants

SN - 1547-1896

IS - 3

ER -