Insurance Reimbursement Rates for Nurse Practitioners

We discuss the recent development of insurers lowering the reimbursement rates for NPs to 85% of the physician rate. Our guests this month are Tom Hampton and Bob Smithing ARNP.

Tom Hampton, the former Commissioner for the DC Department of Insurance, Securities and Banking, a role in which, most recently, he was responsible for providing oversight and direction of the agency that regulates all financial services industries in the District of Columbia.

Tom has advised clients on regulatory approvals required in insurance agency, insurance company, captive insurance and risk retention group licensing issues. He has assisted clients with captive insurance company formation and licensing issues. He has also advised clients with life and health policy form filings. Tom has advised a client that is coordinating with state insurance departments and state health departments on the establishment of their state health insurance exchange, as required under the Affordable Care Act.

Tom has advised clients on financial regulatory matters, including NAIC examination procedure concerns, accounting practices and procedures issues, and annual statement filing concerns. Tom also assisted clients with market conduct examination concerns and other market conduct regulatory issues.

Bob has been a Family Nurse Practitioner since his graduation from the University of Pennsylvania in 1981. He was granted a Master of Science in Nursing degree upon graduation and was subsequently certified by the American Nurses Credentialing Center as a Family Nurse Practitioner. He is a past president of the American Academy of Nurse Practitioners and served on the original board of the American College of Nurse Practitioners.