job opening

[midwifemom3]

Not sure if I can post here but bayarea is looking to hire birth assistants if you are interested pm me. You do need to have a liscense and will also do office work

Jen

[womancaredoula]

re: job opening

Jen,
I heard that the owner of Bay Area Judith sold the practice. Who did she sell it to - the hospital?

-Barbara

[midwifemom3]

Bay Area came under the same pressure that other birth centers have come across. The rising cost of malpractice insurance forced her to either close the practice or be taken over by someone with bigger pockets. It is really a numbers game under private ownership the cost of malpractice insurance would have been raised to 125,000 dollars per year for 4 midwives but going under the hospitals policy our insurance dropped to 30,000 for 5 midwives. With current insurance reimbursements being so low, and companies like United Healthcare not wanting to pay for out of hosp birth it forced us to go with the hospital. It actually occurred 2 years ago, but the clients wouldnt notice because all it did was change who writes the checks. I am currently the director, and we are making changes that we feel benefit the midwives quality of life and the patients care. One example is that we now keep our insulin dep diabetics and comanage with perinatologist, and have hosp birth with those clients. We are really trying to listen to what our clients want, although it has been a learning process for me, I am trying to make changes, and there are still some more to come. It seems to be getting better on the financial side because now we have billing companies that work, and know how to deal with insurance companies. Once you are in my position it is easy to see why so many birth centers close. The insurance companies give you an authorization for care which is always billed globally after you deliver, and then your client delivers and they deny the claim, and by the time you resubmit they deny again for another reason, or say they didn't receive it. Then you run into timely filing limits. You have anywhere from 30-180 days to bill or its beyond billing. Then people wonder why the birth center closes. It is so rediculous, and they do it because they can!

[homewithtwinsmama]

What kind of license? As in must be a licensed nurse? Never understood how BirthCare can have BAs who are not nurses but every other MD birth center has always used nurses. BC works in MD for their homebirths and it doesn't seem to be an issue.