I see two main factors to this movement. First MD’s is not going into principal care when they can concentrate and double their money, thus creating a lack of small main treatment centers. Second is the big business of healthcare, and everybody has opinions on that. A private practice is interesting to me and together with some other practitioners maybe, and they don’t have to be NP. I remember articles about Belgium or Holland and exactly how they still have the family doctors on almost every block. Sometimes their homes and business were in the same big old house or building.
Maybe it was too idealistic that your patients were also your neighbors, but it sounded interesting and what I remember as a kid. In addition they said these practices were good filters for the Emergency departments and hospitals. At 8pm a child with an earache is taken to the ED, but there most of your care neighbor can get you a script for ear drops rather than tie up the hospital staff.
Is this days gone by or the future of American medicine? Ultimately my plan is to look solo. Fargo was made, NPs need to collaborate with MDs. Also, that said, heading solo, hmm. I like the advantages of pension, health book and insurance holiday time. Thanks for the mention Stephen. I am hearing from increasingly more NPs entering to business for themselves.
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One reasons I hear is that NPs want to apply as NPs – in their own way, where they focus on the entire patient. For all those that want, they will access lots of info at our blog or by pursuing our Facebook page. I have got my very own practice for 8 years in Washington State. Wouldn’t go back for anything. It’s been a challenge at times, plenty of questioning easily was on the right course, making very little money in the beginning, the ongoing task of learning about business operations. It really is working out very nicely.
Not making scads of money but I tend to be more of the socialist when it comes to medical practice. I’ve recently taken on a fresh grad to participate my practice. She is scared to loss of life but fun to teach her the ropes and reassure her that she actually is doing the right thing.
In Washington State 30% of main care has been done by NPs. Do you have 3rd party practice in NY State? Makes all the difference. Unfortunately, no impartial practice in NY yet. We will work on that one. I think more and more NPs should be permitted to practice on their own; however the amount of press from doctors is amazing regarding this back again.
Do they not think, if something has gone out of the NP’s little league that the NP wouldn’t refer to a proper colleague? What it boils right down to is money IMHO and not what’s best for the individual as typical. Reading “Not What THE PHYSICIAN Ordered” by Jeffery Bauer as really opened up my eyes to the business enterprise of medicine and the control doctors have over it. Not being an NP I cannot comment on going solo but I believe there is a place in the medical world for NPs in private practice; convenience, potential cost benefits to mention a few.
A good blog. WHILE I went into practice, I needed to eliminate insurance and concentrate Age group Management Medication completely. When the economy spiraled down I came across it difficult to practice without plans. The trick is time getting credentialed on programs and keeping to the very least overhead. Surprisingly, insurance is paying for hormone therapy with appropriate codes.
Now, the only big cuts are wellness exams for adults so needs to be billed differently. Appropriate billing and coding make all the difference. It really is harder within AZ. Increasingly more NPs will continue to go into private practice hopefully the FTC will achieve success in helping to eliminate the areas that restrict NP practice as this can be a restraint of trade. Nurse Practitioners are a God send to the global world of healthcare.