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Affordable Care Act Case Study

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Lack of direct payment or low payment rates discourage many nurse practitioners from establishing or leading independent primary care centers (6). Restrictive state scope-of-practice laws impede the ability of NP’s to work efficiently and can pose significant barriers to care delivery (6). Policy makers may wish to consider two main approaches if they wish to alter the opportunities for NP’s to meet the needs of a collapsing primary care workforce: state legislative and payer reforms are a necessity. Our patients deserve a health policy that is able to meet their needs in the coming year.
The Affordable Care Act (ACA) policy seeks to move the U.S. health care system from a fee-for service system based on volume and quantity to a payment model

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