Also policy makers intend to encourage physicians to go in to needed specialties by increasing payments and reducing the burden of student loans. Policy makers intend to build careers in medicine more rewarding by giving physicians more autonomy. Policy makers can maintain autonomy and ensure safe care which is delivered by creating mechanisms that hold physicians accountable for patient outcomes and encourage them to make change on how to improve those …show more content…
Also, it is unclear whether nurse practitioners can manage patients with multiple chronic conditions with the same skill as physicians have. Some physicians claim that if patient see NPs rather than physicians may put patients’ health at risk. Physicians compare their education to NPs who participate in four years of nursing school and two years of graduate school. However, NPs are paid less than physicians for providing the same services. For example Medicare pays less NPs than physicians. Nearly half of the major managed care organizations did not accept NPs as primary care providers. Therefore, lack of credentialing is noted as a particular problem for Medicare and Medicaid managed care plans, because a growing percentage of the population covered under both programs is enrolled in managed