Lori Schellenberg’s Post

The obvious elephant in the room? WHO WORKS AT MEDICIAL #INSURANCE COMPANIES? OBVIOUS POINT: #Doctors and #nurses are working at #INSURANCECOMPANIES. I’m going to say it out loud because no one else will: We can’t demand change in one breath and then take the very jobs that make it harder for patients to get the care they need. And let’s be clear—AI isn’t making the decisions. AI is the tool; the provider is the decision-maker. As a former investigator, I’ve seen it firsthand: it’s their job, their responsibility, and their license on the line when they approve or deny care. So, the real question isn’t just “why is this happening?” It’s who is taking these roles—and why? If we want to see real change, accountability starts with us. #healthcareinsurance #insurancedenials #nursesoflinked Julie Siemers, DNP, MSN, RN Sharon Gauthier MSN MPH Nurse Consultant Advocate Patient Advocacy Dr. Nikki SanMiguel-Stephens DNP APRN FNP-C, NE-BC Evidence-Based Patient Advocate

Controversial article on APP/APCs last week prompts time to respond. A July ‘24 article in Bloomberg titled, The Miseducation of America’s Nurse Practitioners [the first part of a series] implies, “The proliferation of nurse practitioners programs in the U.S. is spurring concerns about the quality of training for these advanced practice providers and potential consequences for patient safety.” https://lnkd.in/gsjd_fY8 I’m asking you to take a moment to reflect. Why would TDC Group (theTDCgroup.com) the nation's largest physician-owned provider of insurance, risk management, and healthcare practice improvement solutions choose to support independent practice of APCs? Secondly, did the Bloomberg authors read a recent study conducted by Candello (a division of CRICO) on the safety of APC care? Research, “…evaluated their national database of medical professional liability claims, to addres growing concerns over advanced practice providers (APPs) and malpractice risk compared to physicians. Fortunately, the analysis may put many worries to rest.” https://lnkd.in/gP4xRT6x Wouldn’t provision of liability coverage by TDC for APPs, combined with extensive claims made data analysis provide foundational evidence about role and scope? If you are looking for perfect, don’t look to exclusive physician-based care. Medical errors evolve within systems care is delivered in. Can we please stop the divisive rhetoric that precludes our country from providing essential care to all? When will the AMA stop their “scope creep” campaign? Can we please look forward, developing models of care that provide right provider, right place and, right time? If you are an APP pursuing independent practice, I highly endorse and recommend The Doctor’s Company as a leading option for excellent coverage. https://lnkd.in/gsjrB9m2 #GrowMidwives

Nurses and other caregivers like CNAs are improving the quality of life for homebound seniors by providing personalized medical care and essential support services. Cost of long-term care services are rising nationwide. Quality care is expensive today, even more expensive tomorrow. Health insurance and Medicare only pays for short-term skilled care - see the current and projected cost of long-term care services here - https://lnkd.in/dZazMBV Having an LTC policy will ensure access to quality care in addition to income and asset protection. If you are looking for care for a loved one use the LTC NEWS Caregiver Directory and search from over 80,000 caregivers, home health agencies, senior communities, and long-term care facilities with just a few clicks - www.ltcnews.com.care https://lnkd.in/gdP6pPpa

(McKNight's Long Term Care News) - " Nursing Homes Slam Biden Staffing Rule: 'How Can [We] Hire More RNs When They Do Not Exist?'." The Biden administration on Monday finalized a mandate for nursing homes to hire more nurses and aides, and providers balked at the rule, saying it will siphon workers from other long-term care settings and only adds to the worker shortage from the pandemic. Find A More AFFORDABLE Health Insurance Plans At: HI4E.org #NursingHomeStaff #NursingHomeStaffingShortages #NursingShortage #NursesQuitting #NursesBurnOut #DoctorShortages #NursingShortages #UnvaccinatedNursesFired #BidenNursingHomeStaffingRules #MayoClinicFiredUnvaxxedNurses #UnvaccinatedHealthcareWorkersFired #UnvaccinatedDoctorsFired #BidenWantedUnvaccinatedFired #BidenHealthcare #RuralHealthcare #RuralHospitals #RuralAmericaHealthcare #RuralDoctors #HI4E.Org #HealthAndLifeSolutions #NursingHomeStaffingRules #HealthInsuranceForEveryone #McKnightsNews #NursesQuitting #HealthcareWorkersBurnOut #NurinsgHomeStaffBurnOut

NSO MEDIA COVERAGE ALERT: As nurse practitioners expand their scope of practice, navigating risk and liability has never been more important. Discover five strategies to help protect your license and career. Via Daily Nurse. https://bit.ly/3V5pdvj #nursepractitioners #NP #NPs #NPlife #riskmanagement #healthcare

Around the world, people face health challenges that make daily activities daunting. Thanks to rapid technological advancements, innovative tools are now available to enhance quality of life and promote independence. From web browsers for motor impairments to apps managing chronic conditions like tinnitus, technology is revolutionizing healthcare. Check out one of our latest blog posts written by a nurse for nurses everywhere. #HealthTech #Innovation #Nursing #NurseLife #QualityOfLife https://lnkd.in/eUxY6vwp

I fundamentally don't understand the belief that nursing NEEDS to adopt the tired bill for service model that we know has failed miserably but somehow is being touted as THE solution for a crisis created by corporate greed. I don't want to be a "valuable billable service," I want safe staffing ratios, to be paid adequately and for patients to access the care they need for free. We don't need to prove our worth to demand these things. When are we going to be clear about the problem? Why does nursing STILL have to *prove* it's value to corporations? No nurse, there is no care. It's that simple. Pay us more. Staff & retain us. Stop exploiting us for our labor and stop exploiting patients. Sorry that the toll on our bodies of working more than we are physically able to, in order to make up for systemic neglect is not going to be addressed by nurse reimbursement. You can't convince me otherwise and I won't pay a membership fee to be convinced either. Resident physicians are the case study. Every minute of their exploitation is billable. They still suffer. Another example that comes to mind, Kaiser mental health workers are on strike right now in Southern California. Many of these clinicians bill for service. Kaiser is not only their employer but they are also the insurance provider. Kaiser has refused to meet with their workforce and is delaying negotiations. Kaiser is outsourcing therapists through therapy tech startups like Rula and Grow Therapy, meaning they are taking strike contracts and impeding negotiations for this workforce. As more struggling healthcare systems are either absorbed by or implement the same combined coverage and care delivery model as Kaiser, why would nurses preemptively give them more of our working power? The fight for nursing is through organizing our workforce, building community and addressing harmful labor practices. Anything else is showboating and/or tiptoeing around the problem. This workforce is in crisis and we can't waste valuable time and resources on an endless loop. If your goal is to make these corporations more money off of our labor, SAY THAT. Don't try to pretend to care about our wellbeing while refusing to acknowledge the purveyors of harm. We know nurses are valuable, why are we spending time, resources and energy on proving this? We need organizations like IMPACT In Healthcare | Interdisciplinary Medical & Patient Alliance for Care Transformation speaking to Congress members daily but it’s not sexy or fun to be clear about the problem. It’s also expensive for working class healthcare workers. #nursesonlinkedin #directreimbursement #universalhealthcare #nursing #medicine #capitalism #patientcare #kaiserstrike #unionize

Yesterday, I received a call from a fellow male nurse who said, "Nurse Oladunni, this book is the answer to my questions" Thank you for having the #courage to write it. When I first considered writing "#Nurses, AI, and Other Big Choices" back in 2021, it was a reluctant journey. But as I wrote daily, pouring data into every detail, I realized this book was going to be something special—everything a nurse could ever need. 🤸🎉😍🎁 The book covers six essential areas: ✅Becoming a skilled nurse in today's healthcare landscape. ✅ Harnessing #innovation, fresh ideas, and technology to drive systemic change. ✅ Building a #career trajectory from the ground up. ✅ All things #health-tech and health insurance. ✅ Exploring side hustles, businesses, and other big opportunities for nurses and healthcare practitioners. ✅ Tackling #healthcare problems and #monetizing solutions. You don’t want to miss out on these insights. 📸 Check out the client testimonials, and DM me if you'd like to preview the book. Like and repost so other nurses can access this for free. I’m cheering you on, dear #nurse!

To all my Nursing colleagues, If you can have a read of the linked post and take the time to respond to PHIconsultation@health.gov. The key question is "Do you agree that practice nurses, mental health nurses and/or nurse practitioners should be added to the list of health professionals eligible for benefits under CDMPs?" As a Nurse, I will be responding in the affirmative. Nurses are a critical layer in the management of chronic disease and the ability to be appropriately funded just makes perfect sense. As Ben Harris has drafted in his post, the response can be as simple as “Yes, practice nurses, mental health nurses and/or nurse practitioners should be added to the list of health professionals eligible for benefits under CDMPs.” A positive change for consumers and the practitioners that provide chronic disease management.