Role of Mid-level Practitioner in Managed Care

This subject concerns itself with the existing function of mid-level practitioners within the framework of managed health care. Mid-level practitioners are defined as primary caregivers that are non-physicians. Such caregivers include physician assistants, nurse midwives, and nurse practitioners.

Documents

Landmark Studies of NP Practice
This document includes citations of studies regarding NP autonomy, prescriptive priviledges, reimbursement, and scope of practice. Information is available on cost-effectiveness and current trends which include the managed care market.
Nurse Midwifery in the '90s
This document describes the evolution and growth of the nurse midwife profession. It discusses the need to contract with a physician consultant for the provision of care. National health policy organizations have recognized the importance of midwifery and encourage utilization of same in many settings.
Overview of the PA Profession
This document describes the profession, practice settings, education, credentials, care, and background of physician assistants. Seventy percent of all PAs practice in outpatient settings, including HMOs, and the demand is increasing rapidly.
Patient Advocacy Role of Nurses Evolving In Managed Health Care
This document is entirely applicable to the subject of mid-level practitioners role in managed care. It describes the function of nurse practitioners in an HMO setting.
Questions and Answers About Physician Assistants
This document outlines the credentials, salaries, practice settings, and future of the PA profession. It includes managed care settings within the framework of health care delivery system discussions.

Sites

Midwifery: With Woman
This site contains information on becoming a midwife; midwifery around the world; helping clients with special needs; related articles and other information. Limited information is also included on current trends and managed care. This site warrants a 3 star rating due to the large scope.
News USA Archives -- Health and Fitness
This site contains archived articles that relate to health and fitness, of which a very limited pertain to managed care and mid-level practitioners. As such, I would give it a 1 star rating.
Physician Assistant Network (PA Net)
This site includes PA vacancy announcements and the current job outlook. Information regarding managed care opportunities is also present, as well as the predicted future of same. This information is readily accessible but sketchy, so I would give it a 2 star rating.
The National PA Page
This site claims to be the "first and foremost resource for & about the Physician Assistant profession". It contains vast material regarding the profession, including references to managed care. Due to the cumbersome nature, I would give it a 3 star rating.
The NP Web
This site claims to be the "primary care homepage for nurse practitioners". It provides comprehensive information on the profession, including references to managed care. Due to the overwhelming amount of material available, I would give it a 3 star rating.


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