"However the AMA's continual link of reimbursements to physician-led teams and outdated licensure approaches is not only anticompetitive, it limits patient choice and access to care. It fails to recognize not only the Institute of Medicine recommendation on team-based care, it also fails to recognize the national accreditation standards for team-based care and patients who are in medical homes that allow flexibility in team leadership."
The AMA's House of Delegates also passed a report that more specifically defines team-based roles and terms including "physician-led," "supervision," and "collaboration."
"Virginia recently adopted a law that supports and promotes physician-led healthcare teams as a collaborative, consultative approach to healthcare," Hoven said. "With an aging population and a surge of newly-insured patients entering the system, we encourage other states to consider adopting this innovative approach to helping facilitate the work of highly-functioning teams of medical professionals who can meet the growing demand for healthcare."
Kopanos says states' efforts to develop guidelines for physician-led team-based care have not worked well for nurse practitioners.
"In any state that has nurse practitioner practices owned and operated by nurses or nurse-managed health centers, their ability to participate in insurance and managed Medicaid is eroded when physician leadership is a requirement," she says.