Reply to I do not want to see an NP!

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][b]It is horrifying to me how many people are unaware of how poorly trained the far majority of NP's are.[/b]  They can get their degrees from 100% online programs (AKA degree mills).  They may be absolutely lovely in person, but the bottom line is that they don't know what they don't know.  It is an absolute travesty what they have done to the field of medicine.  Primary care is one of the most difficult things because 99% of the time, everything is fine.  But you need to see thousands of cases of normal in order to detect the abnormal.[/quote]
Exactly, I work in medicine. [b]NPs are poorly trained and are not cost effective[/b]. The patient is billed at the same rate as an MD but the reimbursement to the provider is lower. So the only person that wins is the insurance company. NPs order more tests and do a lot of unnecessary things because they do not know what they're doing. 
I don't want to see an NP because I'm alarmed at the pace at which their scope of practice is increasing. Insurance groups are pushing the NP model because its a huge profit margin for them, but telling people that an NP is the equivalent of seeing an MD/DO trained in family medicine is disingenuous. 
NPs misdiagnose all the damn time simply because they do not have the breadth of knowledge to know when something isn't right. I rarely go to the doctor but when I do I want to be seen by a physician. [/quote]

Why are they billed at the same rate?

Why is that not fraud?[/quote]

Because the public is not outraged by this. Everyone loves their NPs so I guess to them it’s worth the same amount of money? Since everyone is fine with this new reality, why wouldn’t you charge insurance the same and pay someone half as much and pocket the rest? This is essentially the model of private equity and their take over of EM. [/quote]

This is an interesting point. I just got billed at the specialist rate for seeing an NP for an HRT prescription. This is the same GYN office that billed a separate appointment at my annual for referring me for pelvic floor therapy. [/quote]

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