Announcement of Public Workshop, "Examining Health Care Competition" ("Health Care Workshop") Project No. P13-1207 #00064

Submission Number:
00064
Commenter:
Marti Cowherd
State:
Missouri
Initiative Name:
Announcement of Public Workshop, "Examining Health Care Competition" ("Health Care Workshop") Project No. P13-1207
Missouri has the greatest number of Rural Health Clinics (RHC) as compared to every other state in the nation. These clinics serve a majority of the Medicaid and Medicare population. Based on Federal Guidelines as set forth by CMS, a nurse practitioner or physician assistant must work at least 50% of the time that the clinic is open as a RHC. Each of these Missouri Collaborative Practice restrictions limits the care provided in a RHC. It takes time away from both physicians and nurse practitioners that could be better spent on direct patient care. As the amount of patients increase due to the Affordable Care Act, each provider will be needed to provide quality patient care and coordination of services available.