Going Out of Network | Kristin Mallon

Today we talk to Kristin Mallon, obstetric nurse, author, midwife, and medical strategist. Kristin is an expert in business for birth professionals, and particularly in birth professionals who operate out-of-network, and helping them to navigate potential pitfalls in order to run a successful practice. She has been called a visionary in the field of medicine as a business, and she has touched the birth world both by attending births herself, and by helping others to offer the best possible birth care for their clients.

We talk about Midwifery as a field and birth as a business of necessity, as well as how the insurance industry complicates a birth provider's ability to be paid properly. We discuss how the reality of birth providers operating in-network, and how the demands and limitations can make birth more dangerous and less personal. We also talk about how providers are reimbursed by insurance networks for birth, and some of the reasons for the structure, as well as some of the benefits and downfalls of that structure for both the patient and the provider.

We discuss some of the reasons why more birth providers aren't leaving the network structure, and some of the fears holding them back from starting off into an out-of-network practice structure. We also talk about birth costs, and the ways that in-network providers have to calculate billing in order for the insurance to pay for it, and the ways that it can create problems for how providers are paid for prenatal and birth care.

Finally we talk about how billing works out-of-network, and why providers shouldn't be afraid to switch, as well as why patients shouldn't be afraid to go out-of-network. We discuss the transition from in-network to out-of-network, and then from OON to cash pay, and what each model implies.

To Learn More Visit: www.kristinmallon.com

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