Quality of Primary Care Provided to Medicare Beneficiaries by Nurse Practitioners and Physicians
Beneficiaries attributed to PCNPs had lower hospital admissions, readmissions, inappropriate emergency department use, and low-value imaging for low back pain. Beneficiaries attributed to PCMDs were more likely than those attributed to PCNPs to receive chronic disease management and cancer screenings. Quality of care for beneficiaries jointly attributed to both clinicians generally scored in the middle of the PCNP and PCMD attributed beneficiaries with the exception of cancer screening. The quality of primary care varies by clinician type, with different strengths for PCNPs and PCMDs. These comparative advantages should be considered when determining how to organize primary care to Medicare beneficiaries.
Peter Buerhaus, Jennfier Perloff, Sean Slarke, Monia O’Reilly-Jacob, Galina Zolotusky, and Catherine DesRoches.