Drivers of Cost Differences Between Nurse Practitioner and Physician Attributed Medicare Beneficiaries.

ABSTRACT:

Background

Although recent research suggests that primary care provided by nurse practitioners costs less than primary care provided by physicians, little is known about underlying drivers of these cost differences.

Research objective

Identify the drivers of cost differences between Medicare beneficiaries attributed to primary care nurse practitioners (PCNPs) and primary care physicians (PCMDs).

Study design

Cross-sectional cost decomposition analysis using 2009-2010 Medicare administrative claims for beneficiaries attributed to PCNPs and PCMDs with risk stratification to control for beneficiary severity. Cost differences between PCNPs and PCMDs were decomposed into payment, service volume, and service mix within low-risk, moderate-risk and high-risk strata.

Result

SUBMITTER: Razavi M 

PROVIDER: S-EPMC7899223 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature