ABSTRACT
Background:This is a case study of an advanced practice nurse (APN) practice response to
2003 Medicare D-associated payer changes.
Description: Case study of changes in population/services after implementation of
Medicare D policy considerations
Study design: Case study with data at 3 time points and analyzed using descriptive statis-
tics/central measures of tendency/dispersion
Results: Largest changes found to affect public sector recipients/practice solvency
Conclusions: Unintended consequences of healthcare policy change affect APN prac-
tice/health of vulnerable populations. Recommendations for entrepreneur APNs include
supportive policy in addition to business preparation, education, and tools that generate safe
strategies for alternate income streams during policy/payer changes.
Keywords: APN, APN entrepreneur, behavioral health, Medicaid waiver, Medicare, Medicare D,
private practice, reimbursement strategies, TennCare
© 2010 American College of Nurse Practitioners
www.npjournal.org The Journal for Nurse Practitioners - JNP 707
Kathleen McCoy, Michael Carter, Patricia D. Cunningham,
Patricia M. Speck, and Cynthia Rector
Effects of Medicare Changes on a
Behavioral Health
APN Practice