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This means hospital systems have an economic incentive to keep their nursing staff as small as possible.
is not in line with how any other kind of professional service would operate.” “The invisibility of nursing work, the inability to put a value on it. “All of that work is invisible, except for maybe the supplies that I used,” Matthew McHugh, professor of nursing at the University of Pennsylvania, told me.
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#VOX NUTRITION PAY HOW TO#
The work that they do - checking on patients, inserting an IV line, assessing patients for infections, teaching patients how to care for themselves - is not considered a billable service under the current fee-for-service payment model. Patients end up charged for nurses’ work in the same way they are for housekeeping or Jell-O, as part of the cost of a hospital room. But because hospitals don’t bill insurers for the care that nurses provide to support a doctor’s orders, they end up on the other side of the balance sheet as a labor cost. Nurses are essential to each of those services. The hospital can charge for each of those individual services, and patients see them on their bills. They order tests to be run, imaging to be taken, medication to be administered. Doctors, in this universe, are a revenue generator. Most US hospitals run under a fee-for-service system: They make money by billing for individual services. The pandemic made a long-simmering problem in hospitals impossible to ignore: We desperately depend on nurses to deliver quality health care, but the American health system does not properly value the work that they do - in the most literal sense.