Reply to “Response to rising high‐acuity emergency care services independently billed by advanced practice providers, 2013 to 2019”

Abstract

We thank Mr. Wu and Dr. Darracq for their interest in our research regarding the billing of high-acuity emergency care services by advanced practice providers (APPs) from 2013 to 2019. 1 We agree that descriptive data, such as this, can be used to inform discussions about the changing dynamics of the emergency medical workforce. 2,3 Wu et al. note our inclusion of certified registered nurse anesthetists (CRNAs) and certified nurse midwives (CNMs) as part of the APP definition, in addition to physician assistants (PAs) and nurse practitioners (NPs). We included CRNAs and CNMs to align with the definition of APP in prior literature analyzing this data set. 4 This decision did not have a meaningful impact as only three CRNAs and no CNMs were included in our analytic sample. 1