“Surprisingly, 10 of the 16 non-doctor workers are purely administrative and management staff, receptionists and information clerks, and office clerks. The problem with all of the non-doctor labor is that most of it is not primarily associated with delivering better patient outcomes or lowering costs.”
In an effort to tackle the opioid addiction epidemic, state legislators, Attorney General Bob Ferguson, and Democratic Governor Jay Inslee are rolling out legislation to limit opioid prescriptions and invest in drug treatment infrastructure.
…let nurse practitioners practice medicine independently, rather than under the thumb of a supervising physician, after a probationary period of supervision.
…rules limiting nurse practitioners “are related not to their ability, education or training, or safety concerns, but to the political decisions of the state in which they work,” and because “most studies showed that NP-provided care is comparable to physician-provided care on several process and outcome measures. Moreover, the studies suggest that NPs may provide improved access to care.”
…giving nurses a greater scope of practice helps bring costs down by as much as 35 percent, with higher levels of patient satisfaction.
Before enactment of the ACA, Washington state had an effective, viable state-based high-risk pool for its individual health insurance market. The state high-risk pool ensured that patients with high health care costs could get insurance coverage. The ACA now directs money into the state health insurance exchanges and into the expansion of Medicaid instead. As a result, the successful Washington State Health Insurance Pool (WSHIP) is currently not taking new enrollees and is scheduled to end in 2022.