Primary and preventive cares are foundational necessities for sustained and improved health, and quality of life. But, the availability of practicing primary care physicians is dwindling, a phenomenon which is only expected to increase. A recent report prepared for the Association of American Medical Colleges (AAMC), projects shortfalls in primary care of between 14,900 and 35,600 physicians by 2025. What is more, a 2015 Kaiser Family Foundation survey found that more than 58 million Americans reside in areas with primary-care physician shortages. But while the supply of doctors is shrinking, the demand for and access to care has never been greater, with an ever increasing focus on primary prevention, coupled with an expanded insured population.
To help fill the gap and to reduce health care costs, employers and other purchasers of care recommend a multi-pronged strategy that seeks to expand the of use of low cost care alternatives such as advanced practice nurse practitioners (APRNs), physician assistants (PAs), and other non-physician clinicians, where appropriate. For more information see our position statement below. Additionally, some employers have looked to create their own.
National Business Group on Health's Position Statement on Primary and Preventive Care
Federal and state governments should advance policies to promote the use of alternative sources of lower cost primary and preventive care.
Chart - Guide to State Laws Regarding Nurse Practitioner Prescriptive Authority and Physician Supervision
Tracks state laws governing the practice of medicine by nurse practitioners, including provisions that could inhibit their practice.
On-Site Health Centers: Policies to Preserve and Promote an Effective Employer Solution
Discusses what on-site health centers (OHCs) are, what employers need to know to comply with the federal regulatory requirements and the Business Group's recommended policies to support and encourage OHCs and related programs.
Access all public policy resources on Telehealth for more information on one digital care alternative.