● OB/GYN ●
A stronger business behind your OB/GYN practice
OB/GYN carries some of the toughest economics in medicine: global maternity billing, brutal call schedules, high malpractice costs, and a payer mix you don’t fully control. The practices that thrive manage the business with the same rigor as the clinical work.
Sound Familiar?
Hard specialty, harder economics
Global billing leakage
Maternity globals hide revenue loss: missed visit documentation, unbilled non-global services, and transfers of care that never get reconciled against what was actually delivered.
Call burden without call math
Delivery call shapes recruiting, retention, and partner harmony — yet few groups have modeled what call actually costs and what fair compensation for it looks like.
The GYN schedule subsidizing OB
Office gynecology, procedures, and ancillaries are where margins live — but OB demands crowd the schedule and the investment attention.
● Two Ways to Engage ●
Same executive expertise. Two engagement models.
Both engagements bring senior healthcare-executive expertise to your OB/GYN practice. The difference is the number of hours per week your outside expert is involved — and who executes the plan.
Fractional Executive
We lead it with your team
A COO, CFO, or CEO-level operator embedded in your practice on a weekly cadence — running leadership meetings, working directly with your staff, and owning outcomes. Executive-caliber leadership at roughly 20–30% of the cost of a full-time hire.
Consulting
We build it, you run it
A focused engagement built around analysis and a clear, prioritized roadmap. Often the better value when you already have the leadership in place to execute a well-built plan — project-based, defined scope, defined deliverables.
How We Work
Five steps. Every engagement.
Every engagement — fractional or consulting, any specialty — follows the same five-step operating discipline.
Where We Focus
What we work on inside OB/GYN practices
Balancing the OB engine and the GYN margin — with the financial infrastructure this specialty’s complexity demands.
■ Global maternity revenue integrity
Global-period tracking, non-global service capture, transfer-of-care reconciliation, and payer-specific billing rules — the leakage points closed systematically.
■ Call & coverage economics
Call cost modeling, compensation structures for delivery coverage, and laborist/coverage alternatives evaluated on real numbers.
■ Office GYN & procedures
In-office ultrasound, colposcopy, LEEP, and procedure scheduling — the high-margin schedule protected and grown alongside OB volume.
■ APP & midwife leverage
CNM and NP integration for prenatal care, well-woman visits, and triage — scope, supervision, billing, and the capacity math behind it.
■ Payer & contract strategy
Global rates benchmarked, delivery volumes leveraged in negotiation, and value-based maternity programs evaluated with eyes open.
■ Partnership & growth planning
Partner compensation that survives OB/GYN’s uneven workloads, recruitment modeling, and expansion or affiliation decisions made from data.
“OB/GYN groups don’t fail from lack of patients. They wear down from economics nobody ever put on paper.”
Questions
Frequently asked questions
How can an OB/GYN practice improve profitability?
What is global maternity billing leakage and how do we stop it?
Should our group add certified nurse midwives?
Can you help with call schedule and partner compensation disputes?
The OB/GYN briefing series
Five sourced, data-driven reports on the business of running an OB/GYN practice.
OB/GYN ancillary revenue: what in-office ultrasound, genetic lab services, and elective wellness lines actually earn.
OB/GYN call coverage economics: hospitalist models, nocturnist arrangements, and what the math looks like when a burned-out partner quietly reduces their.
Global obstetric billing explained: how the CPT 59400 and 59510 package works, where antepartum documentation gaps cost you money, and what to audit first.
OB/GYN malpractice insurance costs: 2025 Medical Liability Monitor data, why obstetric premiums vary by state.
Office-based gynecologic procedures: which procedures migrate well, what the billing and facility-fee economics look like.
Book your complimentary discovery call now
Thirty minutes. No pitch. An honest read on where your practice stands.
Free Consultation