Nurse practitioners working independently in EDs increase costs, hospitalizations: Study

Nurse practitioners delivering emergency care without physician supervision at the Veterans Health Administration increase patient stay time by 11 percent and raise preventable hospitalizations by 20 percent, according to a March 10 report from the American Medical Association based on data from the National Bureau of Economic Research. 

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The study shows that NPs increase the cost of emergency care by $66 per patient. Increasing the number of NPs on duty also increases healthcare spending by $238 per case, not including paying NP salaries. 

Assigning 25 percent of emergency cases to NPs costs $74 million annually for the Veterans Health Administration, according to the study. 

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