Anonymous
Post 10/23/2024 19:47     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Anonymous wrote:One reason I think this might not be about increased insurance cost is that the patient letter doesn't make any reference like "due to the rising costs of care" or "rising insurance costs" etc. When my neurologist's office stopped offering botox for migraines, they were very clear that it had to do with insurance reasons.

In my experience, when corporations (including doctor's offices) issue a statement about a change without a reason, it's usually because they don't actually want to be making the change. There would be no legal reason that they couldn't blame it on rising insurance costs, so if they are NOT saying it's due to rising costs... that makes me think this is part of settlement terms.


I know little about med mal, but shutting down what I assume is a huge part of their practice by way of a settlement seems…extreme. Why would they agree to that?
Anonymous
Post 10/23/2024 19:42     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Hah, I just got my letter from Foxhall as a "fall update." They will be Foxhall Women's Health. My letter had a url with "50+" in it. Maybe menopause management is where the $ is now.
Anonymous
Post 10/23/2024 19:33     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
One reason I think this might not be about increased insurance cost is that the patient letter doesn't make any reference like "due to the rising costs of care" or "rising insurance costs" etc. When my neurologist's office stopped offering botox for migraines, they were very clear that it had to do with insurance reasons.

In my experience, when corporations (including doctor's offices) issue a statement about a change without a reason, it's usually because they don't actually want to be making the change. There would be no legal reason that they couldn't blame it on rising insurance costs, so if they are NOT saying it's due to rising costs... that makes me think this is part of settlement terms.
Anonymous
Post 10/23/2024 19:33     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Anonymous wrote:
Anonymous wrote:I used CWC for my last 2 pregnancies, and they were excellent. After delivering elsewhere, I can’t say enough good things re Sibley. I experienced the opposite of being pushed to a c-section. I was scheduled for one (at my request), and ended up really being pushed and encouraged to do a vbac after I went into labor. Talk to your provider, but I think it’s a lot of talk on here about the sibley c section rate, but when you tease out that their average maternal age is a lot higher then the rate is similar to elsewhere.


This is helpful, thank you. How does CWC work for care? Do you have a primary provider, and then also rotate around? Or do you exclusively rotate, with no primary?

I had a primary one and booked almost all of my appts bc at the time I thought I was doing a scheduled c section. Not sure what they don’t you don’t ask for a c section? Before I picked a primary I did rotate around to see who I clicked with
Anonymous
Post 10/23/2024 19:23     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I wonder if anyone will leave the practice, I imagine many obgyns become obgyns because they want to deliver babies.


Check out this March of Dimes info on maternity care deserts. Pretty unnerving: https://www.marchofdimes.org/maternity-care-deserts-report.

Is this really likely in the dmv? It’s different than South Dakota or some other rural area.


Poster whose guess is this is bc of increased liability insurance. I don’t think this is likely here but I wouldn’t be surprised if this sort of thing is why liability insurance probably skyrocketed.


What makes you say you don't think this (ending OB care because of increased insurance $) is likely the case? You think some other reason? With the assumption that OBs who deliver babies enjoy providing OB care, the only two reasons I can come up with for the change are: (1) financial - and therefore insurance reasons or (2) ending their OB practice was part of settlement terms of a lawsuit.
Anonymous
Post 10/23/2024 19:22     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Anonymous wrote:Wow. I looked on their website and no indication. I hope the practice stays open. I am just settling in there as a gyn patient after leaving my doc of 15 years at Reiter Hill.
Reiter Hill got terrible office management practices after they got bought by Advantia. Having a UTI and nobody even answering the phone in VA office for hours was the last straw. My doc was burned out, too.


I’m on my second pregnancy with RHJ and it feels like they’ve really worked out the kinks with Advantia. They’re pretty efficient and easy to reach now. I’m at the Chevy Chase office though.
Anonymous
Post 10/23/2024 19:16     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Wow. I looked on their website and no indication. I hope the practice stays open. I am just settling in there as a gyn patient after leaving my doc of 15 years at Reiter Hill.
Reiter Hill got terrible office management practices after they got bought by Advantia. Having a UTI and nobody even answering the phone in VA office for hours was the last straw. My doc was burned out, too.
Anonymous
Post 10/23/2024 19:15     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I wonder if anyone will leave the practice, I imagine many obgyns become obgyns because they want to deliver babies.


Check out this March of Dimes info on maternity care deserts. Pretty unnerving: https://www.marchofdimes.org/maternity-care-deserts-report.

Is this really likely in the dmv? It’s different than South Dakota or some other rural area.


Poster whose guess is this is bc of increased liability insurance. I don’t think this is likely here but I wouldn’t be surprised if this sort of thing is why liability insurance probably skyrocketed.
Anonymous
Post 10/23/2024 19:13     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Anonymous wrote:I used CWC for my last 2 pregnancies, and they were excellent. After delivering elsewhere, I can’t say enough good things re Sibley. I experienced the opposite of being pushed to a c-section. I was scheduled for one (at my request), and ended up really being pushed and encouraged to do a vbac after I went into labor. Talk to your provider, but I think it’s a lot of talk on here about the sibley c section rate, but when you tease out that their average maternal age is a lot higher then the rate is similar to elsewhere.


This is helpful, thank you. How does CWC work for care? Do you have a primary provider, and then also rotate around? Or do you exclusively rotate, with no primary?
Anonymous
Post 10/23/2024 19:04     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
I used CWC for my last 2 pregnancies, and they were excellent. After delivering elsewhere, I can’t say enough good things re Sibley. I experienced the opposite of being pushed to a c-section. I was scheduled for one (at my request), and ended up really being pushed and encouraged to do a vbac after I went into labor. Talk to your provider, but I think it’s a lot of talk on here about the sibley c section rate, but when you tease out that their average maternal age is a lot higher then the rate is similar to elsewhere.
Anonymous
Post 10/23/2024 18:59     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Anonymous wrote:
Anonymous wrote:Same boat here. Due March. I got a call from Dr. Green yesterday and the email today. This is more than a little annoying. Can’t have been news to them when they took me on a few months ago. I don’t have a clear explanation for why they can’t deliver their current patients. Seems switching providers in your second trimester means you go with whoever has room for you.



I assume it has to do with their medical liability insurance renewal date on why they can’t deliver current patients over the next year.


This is my guess as well. I know this is the reason my previous gynecologist stopped her OB practice.
Anonymous
Post 10/23/2024 18:30     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Anonymous wrote:
Anonymous wrote:I wonder if anyone will leave the practice, I imagine many obgyns become obgyns because they want to deliver babies.


Check out this March of Dimes info on maternity care deserts. Pretty unnerving: https://www.marchofdimes.org/maternity-care-deserts-report.

Is this really likely in the dmv? It’s different than South Dakota or some other rural area.
Anonymous
Post 10/23/2024 18:27     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Anonymous wrote:I wonder if anyone will leave the practice, I imagine many obgyns become obgyns because they want to deliver babies.


Check out this March of Dimes info on maternity care deserts. Pretty unnerving: https://www.marchofdimes.org/maternity-care-deserts-report.

Anonymous
Post 10/23/2024 18:23     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Anonymous wrote:I wonder if anyone will leave the practice, I imagine many obgyns become obgyns because they want to deliver babies.


I would think so. Too many years spent developing expertise as well.
Anonymous
Post 10/23/2024 18:09     Subject: Foxhall stops OB support for DD after 1/20/25 - help new provider recs??
Anonymous wrote:I wonder if anyone will leave the practice, I imagine many obgyns become obgyns because they want to deliver babies.


Also wondering this... Dr. Green in particular... she seems to be a young and immensely talented OB, who's known in particular for success and skill with complicated deliveries. Would feel like a real waste for her to do gynecological care only. It wouldn't surprise me if she ends up leaving, but I wish she would do it now so her current pregnant patients (including those due after 1/20) could go with her.