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dc.contributor.advisorWarner, Maryen_US
dc.contributor.advisorWeinstein, Johnen_US
dc.contributor.authorKassa, Amberen_US
dc.date.accessioned2019-01-03T15:09:09Z
dc.date.available2019-01-03T15:09:09Z
dc.date.issued2018
dc.identifier.urihttps://hdl.handle.net/2144/32977
dc.description.abstractThe Affordable Care Act (ACA) was passed by Congress in 2010 as a health policy initiative to improve the effectiveness of the United States healthcare system. Policies and regulations under the ACA include provisions to improve the quality and cost-effectiveness of medical services which has resulted in a transition of payment systems from fee-for-service (FFS) reimbursement models to value-based reimbursement (VBR) models. Policies under the ACA also encouraged the formation of affordable care organizations (ACOs) which endorse new models of healthcare delivery, specifically team-based care models, to increase the efficiency, quality and accessibility of medical care while at the same time controlling costs. Although physician assistants (PAs) have been a proposed method for addressing the growing demand for high quality, cost-effective healthcare, research that explores the economic value and financial impact of physician assistants is limited. Currently, productivity metrics are used to determine the economic value of physicians and PAs. Current methods of measuring productivity include volume-based metrics and claim based data. Although these methods may be sufficient for measuring physician productivity, they fail to account for PA practices. Current productivity metrics also fail to account for a vast majority of PA productivity due to current billing policies that do not capture all services provided by PAs. In this study, we will explore the financial impact associated with the addition of PAs to ten different physician-owned family medicine practices by measuring the percent increase in net annual practice revenue one year after the employment of a PA. Net practice revenue is defined as the total revenue generated per provider per year minus overhead costs associated with provider employment.en_US
dc.language.isoen_US
dc.subjectMedicineen_US
dc.subjectPAen_US
dc.subjectBuisnessen_US
dc.subjectEconomic valueen_US
dc.subjectPhysician assistanten_US
dc.subjectProfiten_US
dc.subjectRevenueen_US
dc.titleFiscal contributions of physician assistants to family medicine practicesen_US
dc.typeThesis/Dissertationen_US
dc.date.updated2018-10-24T22:02:47Z
etd.degree.nameMaster of Scienceen_US
etd.degree.levelmastersen_US
etd.degree.disciplinePhysician Assistant Programen_US
etd.degree.grantorBoston Universityen_US


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