Quote from revolution
In my state, Arizona, NPs can practice independently of physicians. Not that any good healthcare provider doesn't consult with their colleagues, but the law as I understand it, allows NPs to be sole providers.
What prevents NPs from opening up 'Arizona Family Medical Center' (theri own practice..)? Do insurance panels not cover them? I am trying to understand such dynamics. It's no secret that family physicians and GPs are on the decline in serious numbers which will/is introduce a serious deficiency in primary care.
I believe NP (and PA) will ultimately become THE primary care providers and insurance panels and state/fed laws will be revised to allow people access to mid level practitioners as a whole.
There is nothing to prevent an NP to open their own practice. However, running a medical practice is incredibly difficult in todays practice environment. NPs face additional hurdles including difficulty getting on insurance panels, lack of ability to follow their own patients in the hospital and public perception.
All of these can be overcome, and individually they don't present insurmountable challenges, collectively they are very difficult to overcome.
That being said the number one reason that businesses fail is they are insufficiently capitalized. Are you willing to put up the money for the months necessary to open the practice. Even if you manage to open the practice can you get a decent mix of payors to make money. The reason that physicians are leaving primary care is that reimbursement is strongly skewed towards procedure driven specialties.
Finally if you think that you can open a practice without physician involvement, you would have to give up on Medicare which requires a collaborating physician.
Take a look at advance for NPs. There are lots of stories about successful NP owned practices, but also note the struggles they went through:
David Carpenter, PA-C