Let nurses fix NC’s health care shortage
NC is one of only 12 states that still requires advanced practice registered nurses to maintain a costly, physician‑supervised collaborative practice agreement before they can see patients on their own.
Given our state’s population growth and ever-rising cost of medical services, North Carolina ought to be a leader in health care innovation. Alas, we are a laggard. For example, North Carolina is one of only a handful of states that severely limit the freedom of nurse practitioners to deliver services for which they are licensed...
North Carolina leaders from both parties agree that one factor driving up the cost of health care is a shortage of providers. They just did something about it.
APRNs are educated and trained to collaborate with other health-care professionals; they do not need a law to mandate artificial business relationships with physician “supervisors” to provide quality care.
States that give nurses broad practice authority ranked higher than more-restrictive states on health outcomes, quality of care, and childhood immunizations.
North Carolina has become a national leader in such policy areas as tax reform, school choice, and transportation funding. Unfortunately, we lag far behind in providing telehealth options to patients. That’s the finding of a new study written by Josh Archambault for the Cicero Institute. Archambault, a longtime health-policy researcher and former legislative staffer, graded...
Before Virginia’s reform, it had significant fewer nurse practitioners per capita than North Carolina did. By 2023, the gap shrank by about half.
When it comes to regulating nurses, North Carolina is in an increasingly exclusive club. Unfortunately, the cost of our club membership far exceeds any benefits. In most states, nurse practitioners and other advanced-practice nurses have significant authority to treat patients without being subject to the authority of a physician. In Virginia, for example, they enjoy...
In an end to the will-they-won’t-they drama of the past several years, lawmakers in North Carolina yesterday announced they’d reached a deal to expand Medicaid in the Old North State. For the past decade, North Carolina lawmakers have repeatedly proposed Medicaid expansion. Yet, just as it has been in every previous legislative session, Medicaid expansion...
The Senate leader has opened the door to supporting Medicaid expansion. But expansion supporters might not like the compromises they would be required to make.
The way to solve the North Carolinian knot would be to go straight at it with several structural reforms.
There’s a short shelf life for much of what government officials say in the early days of a public health scare. Events tend to overtake projections. Recommendations about the proper response can change quickly. But at least one portion of N.C. Health and Human Services Secretary Mandy Cohen’s March 10 presentation to state lawmakers is...