AANP policy on improving Medicare patient access to needed diabetic shoes

AANP policy on improving Medicare patient access to needed diabetic shoes
One of the significant roles of Nurse Practitioners is to manage and deliver quality healthcare to patients. They aim to promote health and prevent diseases since they are significant primary care providers. They achieve this role in primary, acute, and specialized health care settings.  Before licensure laws were modernized, one of the significant health care challenges was the shortage and reduced accessibility of primary care providers (Peterson, 2017). To overcome this, it was necessary to establish a policy that ensures direct access to nurse Practitioners in all states. The primary NP had the authority to assess patients, make a diagnosis, order and interpret diagnostic tests, and initiate therapies, including drug prescriptions (Peterson, 2017). In states where the modernized licensure laws were not being applied, access to health care was a challenge, and the cost of health care was overwhelming. The implementation of this policy was intended to improve health care by providing direct access to NPs.

The first step to implementing this policy was drafting laws such as the Nurse Practitioners Modernization Act and presented to the particular states where outdated licensure laws were still being used. Its implementation would ensure that NPs work independently from physicians, thereby improving access to care.

Since the implementation of the Act in several states, several beneficial health outcomes have increased. Granting NPs full practice authority has significantly minimized the cost of health care. Alegria (2020) confirms that states with restrictions on the scope of practice incur the highest healthcare cost. “In 2017, South Dakota adopted full practice authority partly because the state could save up to $70,000 annually” (Alegria, 2020). Regarding healthcare quality, there are no significant differences established between one provided by NPs and physicians (Kurtzman & Barnow, 2017).


Alegria, N. M. (2020). Effects of Full Practice Authority on Chronic Disease Outcomes and Costs.

Kurtzman, E. T., & Barnow, B. S. (2017). A comparison of nurse practitioners, physician assistants, and primary care physicians’ patterns of practice and quality of care in health centers. Medical care55(6), 615-622.

Peterson, M. E. (2017). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus. Journal of the advanced practitioner in oncology8(1), 74.

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