LATEST NEWS ARCHIVE
January 30, 2020: NNPEN Co-Founder, Lorraine Bock, DNP, FNP-C, ENP-C, is a Published Author!
Read Lorraine's article, Nurse Characteristics and the Effects on Quality, on the ScienceDirect website. Access to this article will be available through March 15, 2020.
January 16, 2020: Patients Over Paperwork - Please submit your comments to CMS on Scope of Practice issues.
Feedback on Scope of Practice
The Centers for Medicare & Medicaid Services (CMS) is seeking additional input and recommendations regarding elimination of specific Medicare regulations that require more stringent supervision than existing state scope of practice laws, or that limit health professionals from practicing at the top of their license. Read NNPENs comment letter.
We are seeking additional feedback in response to part of the President’s Executive Order (EO) #13890 on Protecting and Improving Medicare for Our Nation’s Seniors. The EO specifically directs HHS to propose a number of reforms to the Medicare program, including ones that eliminate supervision and licensure requirements of the Medicare program that are more stringent than other applicable federal or state laws. These burdensome requirements ultimately limit healthcare professionals, including Physician Assistants (PAs) and Advanced Practice Registered Nurses (APRNs), from practicing at the top of their professional license.
In response to suggestions we have already received regarding supervision, scope of practice, and licensure requirements, CMS has made a number of regulatory changes in several payment rules, including the CY 2020 Physician Fee Schedule, Home Health, and Outpatient Prospective Payment System final rules. These changes include, but are not limited to: redefining physician supervision for services furnished by PAs, allowing therapist assistants to perform maintenance therapy under the Medicare home health benefit and reducing the minimum level of physician supervision required for all hospital outpatient therapeutic services.
We are proud of the work accomplished, and now we need your help in identifying additional Medicare regulations which contain more restrictive supervision requirements than existing state scope of practice laws, or which limit health professionals from practicing at the top of their license. If you submitted comments on these topics to our 2019 Request for Information on Reducing Administrative Burden to Put Patients over Paperwork, thank you! We are reviewing those submissions.
We welcome any additional recommendations. Please send your recommendations to PatientsOverPaperwork@cms.hhs.gov with the phrase “Scope of Practice” in the subject line by January 17, 2020.
We also continue to welcome your input on ways in which we can reduce unnecessary burden, increase efficiencies and improve the beneficiary experience, and request that input on such topics only be sent to this email address with the phrase “Scope of Practice” in the subject line if they relate to the specific areas in regulation which restrict non-physician providers from practicing to the full extent of their education and training.
Primary Care First Payment Model Registration (CAN YOU PARTICIPATE?)
December 9, 2019: Executive Order Addressing Changes to Medicare
President Trump signed an executive order on October 3, 2019 addressing changes to Medicare. Pay special attention to section 5. In summary, it states all clinicians practice to the highest level of their education and training which equates to FPA. Also, it states payment will be based upon the service provided not the provider of the service. This affects payment. So what does this mean? It has one year to be implemented so stay tuned.
December 4, 2019: NP Practice Owners - We Need YOU!
NNPEN is collaborating with healthcare researchers at Boston College School of Nursing and Brandeis University to discover the incidence of value-based payment arrangements (VBP) offered by payers in your market. From our initial solicitation of practice owners, we have a 5% response rate. We can do better!! If you are a nurse practitioner (NP) private practice owner willing to participate in a 10-question VBP survey, we need you! Even if you feel you have no experience with value-based payment to report, your response will help us establish a VBP baseline. TOGETHER WE SKATE TO WHERE THE PUCK IS GOING TO BE! Complete the Survey.Sept. 4, 2019: American-APN and CareSpan partnered with NNPEN last month! This strategic partnership will help accelerate the development and growth of independent nurse practitioners in the United States. Read the full press release to learn the full details about this exciting opportunity.
June 7, 2019: NP business owners: We Need YOU! NNPEN is collaborating with healthcare researchers at Boston College School of Nursing and Brandeis University to discover the incidence of value-based payment arrangements offered by payers in your market. If you are a nurse practitioner (NP) private practice owner willing to participate in a brief survey on this, provide NNPEN with your contact information. To encourage participating, we will raffle off three $50 Amazon gift cards to NP practice owners who respond by January 1, 2020. Thank you in advance for helping us in this endeavor!