Discuss the shift to value-based health care and its impact on the roles and responsibilities of advanced registered nurses. What major evolving trends in the health care delivery system will affect your practice in the next 3-5 years, and how do you think advanced registered nurses will continue to influence the direction of health care?

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Health care is a constantly changing and evolving industry. Part of this change is a shift from volume-based care to value based care. With this change comes many changes to the roles and responsibilities of advanced practice registered nurses (APRN) and physicians. Before this shift, insurance reimbursement was calculated by quantity. In more recent years, the reimbursement is now calculated on patient satisfaction score. Because of this shift, there has been a greater demand for registered nurses and APRN’s (Karash, 2018).Karash reports that this creates a demand for APRNs for follow up after hospital discharge to prevent readmissions (2018).