Ron Evans, MPH, FACHE, FACMPE | Senior Healthcare Consultant
Many anesthesia groups have grappled with the growing pressure from obstetricians, insurance companies, their serviced hospitals, and the attendant risks, for providing anesthesia support for VBACs (vaginal birth after cesarean). The recent ACOG (American Congress of Obstetricians and Gynecologists) guidelines on VBACs, one could argue, only served to obfuscate rather than elucidate expectations of both OB and anesthesia providers. Anesthesia groups, in particular, have struggled with the “immediately available” language contained in the ACOG VBAC guidelines. Most anesthesia groups have secured a modicom of assurances from their serviced hospitals and/or malpractice carriers regarding their liability exposure with regard to providing VBAC coverage. This is in addition to working out some sort of compensation model for standby when a VBAC does proceed satisfactory to a vaginal delivery, thereby not leading to commensurate billable work for the anesthesia provider. But, as they relate to the concomitant risk exposure from providing VBAC support, are those assurances regarding that exposure sufficient for the providers involved?
The article below from a practicing obstetrician suggests a “VBAC Court” similar to what is currently in place under the auspices of the Office of Special Masters of the U.S. Court of Federal Claims that provides liability protection for vaccine manufacturers from lawsuits that may arise from those rare, but known to exist, untoward reactions to certain vaccines.
Can a similar argument be made for the known risks that accompany VBACs? Should a “no-fault” provision be instituted by the U.S. Federal Claims Court for VBACs?
abeo Management Corporation (abeo) serves as a leading source of revenue cycle management and practice management with a specialization in anesthesia. The company leverages its people, processes, and software to serve independent practices, surgery centers, hospitals and healthcare systems with a scope of services that include billing, coding, transcription, practice management, and business consulting.