Advocacy

Savings Estimate for Full Practice Authority

 

North Carolina wastes at least

in healthcare spending each year, thanks to unnecessary, outdated red tape.


A 2015 report from Dr. Chris Conover with Duke University’s Center for Health Policy and Inequalities Research showed that North Carolina would save between $433 million and $4.3 billion annually by granting Full Practice Authority to Advanced Practice Registered Nurses.

In 2023, NCNA asked Dr. Conover how his numbers might have changed with the implementation of Medicaid Expansion. He responded with a handful of updates, including the ACA’s sustainability, demographic shifts, and healthcare spending changes, that significantly raise the floor.

His new estimates? North Carolina will waste between $647 million and $6.4 billion in healthcare spending each year it waits to pass the SAVE Act.

Annual Savings (millions)

Lower Bound

Upper Bound

 

$433.3

$4,624.3

2012 baseline savings (used for the 2015 report)

$62.6

$615.8

Plus demographic changes
$126.9 $1,249.1 Plus growth in U.S. per capita personal health spending to 2019
$13.3 $131.0 Plus ACA w/o Medicaid
$11.2 $110.6 Plus Medicaid expansion
$647.35 $6,370.79 Grand total
     
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