National Hamilton Project Calls for Removing Anti-Competitive Barriers for RNs, PAs
Monday, June 25, 2018
Posted by: Melissa Graham
The Hamilton Project is an economic policy initiative at the well-known Brookings Institution, guided by a unique combination of leading academics, business people and public policy makers who want to develop a serious, systematic strategy to address the challenges that our economy faces. They have published reports on a wide range of issues, from economic security and energy to health care.
In June 2018, the group issued a report that addresses the barriers many healthcare professionals face while demonstrating its effect on the US economy.
Health-care services in the United States are often criticized as being excessively costly, inefficient, and lacking in competitive pressures. The increase in expense in recent decades is striking: health-care services expenditures accounted for only 8.9 percent of U.S. GDP in 1980, but grew to 17.9 percent of GDP in 2016. At the same time, health outcomes for the United States continue to lag behind those of other countries, whether measured in terms of life expectancy, quality-adjusted life years, or maternal mortality; consequently, U.S. citizens obtain far less value per health-care dollar spent.
One way to lower health-care spending and increase efficiency is to take actions that bolster competitive forces in the sector.
The authors propose that states implement fully authorized scope of practice and propose that states allow the details of the relationship between physician assistants and physicians to be determined at the practice level. They also encourage the federal government to help facilitate this shift by relaxing scope of practice rules within agencies that provide health care, disseminating best practices, and funding research on the effects of scope of practice laws.
To read the complete policy brief or download the complete report, please visit the Hamilton Project's website.