I think that one thing that is missing in this discussion may be a deal breaker for some. For years, users have argued the validity of a separate license for a PA working 1/2 day per week. AC has always stayed by the stance of charging for a second license based on they are billable, and there is no way of really knowing if they are working one day or three.
But, now would that not come up again? I mean to have a full time MD/DO provider being charged $249 per month on top of paying an additional $249 per month for a FNP who works five hours per week.