Commentaries on health services research

Richard W. Dehn, Douglas M. Brock, Abiola O. Keller, Roderick S. Hooker, David Mittman

Research output: Contribution to journalComment/debatepeer-review

1 Scopus citations


"Bending the cost curve" for healthcare services in the United States challenges policy makers. A cost analysis was undertaken based on what would occur if more physician assistants (PAs) and nurse practitioners (NPs) per capita were deployed over a 10-year period. The state of Alabama was used as a case study because it is one of a handful of states with restrictive legislation affecting PA and NP scope of practice. Changing PA and NP scope of practice legislation in Alabama to match states in the upper quartile of collaborative legislation, such as Washington and Arizona, would increase the employment and distribution of PAs and NPs. Even modest changes in legislation will result in a net savings of $729 million over the 10-year period. Underuse of PAs and NPs due to restrictive licensure reduces the cost benefits of increasing the supply of PAs and NPs and reducing the reliance on a stagnant supply of primary care physicians to meet society's healthcare needs.1

Original languageEnglish (US)
JournalJournal of the American Academy of Physician Assistants
Issue number6
StatePublished - 2015

ASJC Scopus subject areas

  • Nurse Assisting


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