What are emerging trends in healthcare?

Call it what you want, it doesn't move as fast as it could. Despite cutting-edge clinical technology, the United States is lagging behind in the adoption of telehealth. Reimbursement, regulation, and even the definitions of telehealth and telemedicine are still being worked out; each state does it differently. The pay-for-service model on which our health system is currently based means that doctors, hospitals and doctors' offices receive reimbursements based on the quantity of services provided, not the quality of care they provide to each patient.

This has been a source of enormous frustration; after all, some patients are more complex and not fit for the 20-minute visit. Doctors who spend more time with patients are often penalized. So regardless of the consulting environment you choose, part of your compensation is likely to be linked to the quality of care you provide. That includes penalties for spending what the payer considers too much.

In general, the pace of change within the value-based care regime means that you may learn (and re-learn) seriously as you go. One way to address scarcity and support value-based care is teamwork. Increasingly, nurse practitioners (NPs) and physician assistants (PAs) are taking on many tasks traditionally performed by doctors. It's worth noting that the average age of professional nurses is 49 years, according to the American Association of Nurse Practitioners; for PAs, it's 38, reports the National Commission on the Certification of Physician Assistants.

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