Lessons Learned From Advanced Practice Nursing Payment

Research output: Contribution to journalArticlepeer-review


For more than 25 years, advanced practice nurses have been incrementally included as a part of the health care financing structure. Following physician payment revisions at the federal level, advanced practice nurses were overtly recognized as Medicare providers and have participated in the establishment of current procedural terminology codes and the subsequent relative work values associated with payment. Success in this regard has been the result of business, political, and policy savvy that has important lessons for moving forward in any health care restructuring for both nurses and advanced practice nurses. Principles of valuing nurse work, time, and intensity in the Resource-Based Relative Value Scale are discussed with implications for future opportunities of measuring nursing work and any potential relationship to quality outcomes of care.

Original languageEnglish (US)
Pages (from-to)121-126
Number of pages6
JournalPolicy, Politics, & Nursing Practice
Issue number2
StatePublished - May 2008


  • Medicare
  • advanced nursing practice
  • payment for nursing services

ASJC Scopus subject areas

  • Leadership and Management
  • Issues, ethics and legal aspects


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