title: The impact of reimbursement policies on the viability of certified nurse midwifery practices.
abstract: The article reports on a study of the effects of reimbursement policies on the ability of certified nurse midwives (CNMs) to maintain a viable practice. In particular the impact of reimbursement policies on the ability to maintain and seek a client base and the overall financial viability of the practice was explored. Neither type of reimbursement statute (private or Medicaid) had an effect on the ability of CNM practices to maintain an appropriate number of clients. Moreover, neither reimbursement statute had a relationship to how a CNM is paid, the type of benefits received, and whether or not a practice covered its expenses.
authors.affiliation: Yale University School of Nursing, New Haven, Connecticut, USA.
authors.forename: L
authors.initials: L
authors.lastname: Ament
mesh_terms: D002568:Certification; D006801:Humans; D008329:Managed Care Programs / Q000191:economics; D008484:Medicaid / Q000191:economics; D009721:Nurse Midwives / Q000458:organization & administration*; D011331:Private Practice / Q000458:organization & administration*; D012051:Reimbursement Mechanisms / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D014481:United States; D016526:Workload