I just ran across a concept that I'd never considered (I'm an RN, not an NP, but interested in health reform):
UnitedHealth has proposed: "onsite nurse practitioners at skilled nursing facilities to manage illnesses and prevent avoidable hospitalizations." with projected U.S. savings of ~$166 billion [2010-2019 period]"
This seems like such a good concept at first glance. Obviously the reimbursement elements must be addressed, and some coordination established between the NP and the patients' PMP. But avoiding unnecessary hospitalizations and providing care-in-place seems to make so much sense...and it could be a HUGE opportunity for NPs.
(cross posted to LTC forum)