keccers
@keccers.eth
In Washington state, legislation is on the table to be able to bill advanced practice RNs and physician assistants at the same rate as doctors https://app.leg.wa.gov/BillSummary/?BillNumber=1430&Year=2025&Initiative=false This does not mean that a PA makes more money or achieves pay parity with a doctor— only that his or her employer makes more $$
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✿ ZACH HARRIS ✿
@zachharris.eth
Have you considered the proportionate amount of time the doctors work on a patient versus nurses. It is super asymmetrical. There’s also a huge labor shortage after the pandemic with nurses so as a way to incentivize supply, I would imagine they tried to make salaries on par.
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keccers
@keccers.eth
They didn’t try anything. There is nothing in the bill requiring pay parity, just billing parity This doesn’t apply to your garden variety nurse either — only to APRNs and PAs — they have prescribing authority, more advanced education and sometimes more autonomy — they are often being used in lieu of doctors now too It suggests to me that basically we as patients should get used to a lot less educated practitioners. To me here they are angling to punt more and more cases to the APRNs and PAs who they can pay less but bill same as doctor
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I Am Steve
@pederzani.eth
I feel like medicine is going the way of law in the USA. I practiced for years and found out most “normal” attorneys have a para do all the work but review it to bill at the attorney rate plus paralegal rate. In medicine this practice may lead to doctors being market makers instead of practitioners, bringing books of business in with desirable patient volume the same way firms evaluate case book values. Then the actual patient work is delegated to underpaid CNPs because hospital admins to meet revenue KPI’s from book value projections before they even sign with the doctor to take the patients at their facility. The game’s rigged before the patient even calls to schedule an appointment.
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✿ ZACH HARRIS ✿
@zachharris.eth
Ah, I misunderstood… so it’s from a medical coding POV. Same arc outcome but with lower cost to service it. I think doctors need to swipe right on PA but not RNs. Are they fully autonomous or is the and MD / DO that needs to sign off before scripts can be deployed? I mean this is already happening all the time with in-network psychiatrist services because 99% of them are overbooked and have waitlists months out.
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