MedCity News November 5, 2025
Russ Arjal

Many of today’s systems weren’t built for speed, supervision, or scale, and they can’t support the level of intelligence or flexibility that modern care delivery demands. The solution isn’t to retreat from APPs. It’s to invest in models that make their work safe, effective, and scalable.

Across the U.S., health systems are turning to Advanced Practice Providers (APPs) to solve the escalating crisis in specialty care access. It’s a necessary and logical solution. Yet, as a recent investigative series from Bloomberg documented, this rapid expansion has exposed persistent gaps in training and oversight, leaving many to wonder if we are setting this critical workforce up for success.

This is not a training issue, but a design problem. The real risk...

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