Adopting a nurse-led model of care to advance whole-person health and health equity within Medicaid.
Nurs Outlook
; 72(4): 102191, 2024.
Article
em En
| MEDLINE
| ID: mdl-38781773
ABSTRACT
BACKGROUND:
Medicaid payment reforms and delivery model innovations are needed to fully transform U.S. healthcare structuring and provision.PURPOSE:
To synthesize nurse-led models of care and their implications for improving health care access, quality, and reducing costs for Medicaid recipients.METHODS:
A critical review of the literature regarding nurse-led models and implications for addressing social determinants of health (SDOH), adopting population health approaches, managing complex care, and integrating behavioral and physical health care within Medicaid.DISCUSSION:
Three interrelated findings emerged (a) investing in dynamic nurse-led models is important for mitigating SDOH and adopting value-based care, (b) regulations preventing nurses from practicing at the fullest extent of their training and licensure limit clinical impact and value, and (c) directed payments can establish value-based expectations for Medicaid managed care.CONCLUSION:
Adoption of a nurse-led model of care has the potential to advance the goals of reducing inequity and promoting whole-person health within Medicaid and nationally.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Medicaid
/
Equidade em Saúde
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article