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Re: VBAC, immediate availabilty and change in hospital policyFrom: ainsron@msn.comSun Feb 11 09:32:39 2001
No, its a money issue. If I'm sitting around the hospital for a "high risk patient" I want to be reimbursed for my time, and payers aren't going to pay both me and the CNM for being there. > >> We also have three CNMs, >> one who works for one of the docs - so she will do what she is asked. >> The other two are in private practice and I provide primary B/U for >> them, we have a good relationship and they understand that our backs are >> against the wall. The two do quite a few VBACs, and with discussion now >> turning to having the MD in house for VBACs, they are bothered by the >> fact that we will no longer let them do VBACs. However it doesn't make >> sense for them to be labor sitting while we are also tied to the >> hospital. > >Would these 2 CNMs prefer to be there? Is it an issue of reimbursement? I'm >trying to understand why the doctors would prefer to not have them there - is >it a back-up issue? > >-- >Cheri Van Hoover, CNM >San Francisco, CA >
-- Ronald E. Ainsworth, MD
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