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Reimbursement for Nursing Services: Issues and Trends

Published online by Cambridge University Press:  20 January 2021

Nancy Baker
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Extract

Americans have long wanted a health care system that is accessible, comprehensive and affordable. Our failure to accomplish these goals has resulted in a resurgence of interest in national health insurance as a mechanism for increasing access, expanding the scope of services, and controlling costs.

Unfortunately, the health care industry (which is really a sick care industry) has fostered dependence on the two most expensive components of care: physician services and hospitalization. This situation has evolved from several historical themes, three of which threaten to perpetuate our inflationary system and prevent reimbursement for non-physicians:

  1. 1. failure to distinguish between medical care and health care

  2. 2. control of the industry by physicians and hospital administrators

  3. 3. lack of recognition for and undervaluing of the services of nurses

All of these factors have reduced the health options for consumers and have been demoralizing for nurses. This discussion will focus on various ways these issues impact upon the contributions nurses can make.

Information

Type
Research Article
Information
Nursing Law & Ethics , Volume 1 , Issue 4 , April 1980, pp. 1 - 4
Copyright
Copyright © American Society of Law, Medicine and Ethics 1980

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References

1. Welch, C.A., Health Care Distribution and Third Party Payment for Nurses' Services, American Journal of Nursing 75(10): 1844 (October 1975).Google ScholarPubMed
2. FTC Staff Recommends Termination of Physician Control over Blue Shield, Behavior Today 10(20): 1 (May 28, 1979).Google Scholar
3. McClure amendment to S. 1020, 96th Cong., 2nd Sess. (1980).Google Scholar
4. See, e.g., Article 15, New York State Business Corporation Law. (A unibill, sponsored by Senator Knorr is in Committee which would amend these regulations to allow nurses to own stock in medical corporations.)Google Scholar
5. Brecher, C., et al., The Implications of National Health Insurance on Ambulatory Care Services in New York City, Bulletin of the New York Academy of Medicine 53(2): 193 (March 1977).Google ScholarPubMed
6. Cleland, V., Sex Discrimination: Nursing's Most Pervasive Problem, American Journal of Nursing 71(8): 1542 (August 1971).Google ScholarPubMed
7. Ashley, J.A., Hospitals, Paternalism, and the Role of the Nurse. (Teachers College Press, New York) (1976).Google Scholar
8. Reimbursement for Nursing Services: A Position Statement of the Commission on Economic and General Welfare. (American Nurses’ Association, Washington, D.C.) (1977) at 33.Google Scholar
9. Jennings, C.P. and T.F., Containing Costs Through Prospective Reimbursement, American Journal of Nursing 77(7): 1159 (July 1977).Google ScholarPubMed
10. Revolution in Health Care Urged in New Surgeon General's Report, American Journal of Nursing 79(10): 1671 (October 1979).Google Scholar
11. For example, the Attorney General of Missouri issued an opinion on January 2, 1980 that R.N.s cannot perform all of the duties outlined in the Rural Health Clinics Act, 42 U.S.C. § 1395, amended by Rural Health Clinic Services Act, Pub. L. No. 95-210, 91 Stat. 1485.Google Scholar
12. H.R. 3990, 96th Cong., 1st Sess. (1979) and H.R. 4000, 96th Cong., 1st Sess. (1979).Google Scholar
13. ANA Views the Current Proposals for National Health Insurance. (American Nurses' Association, Unpublished Report) (Revised October 1979).Google Scholar
14. Maryland Assembly Approves Law for NP Reimbursement, The American Nurse 11(5): 3 (May 20, 1979).Google Scholar
15. California Law Lets Nurses Share in Medical Corporations, The American Nurse 11(18): 1 (September 20, 1979).Google Scholar