Let’s Connect and Discuss Your Practice
The decade that brings hot flashes and sleep loss also brings rising blood pressure, LDL, A1c, and bone loss. I provide the between-visit medication management, monitoring, and education your midlife women need, billed by your practice, so your visit time goes to decisions.
Billable chronic care management, remote patient monitoring, and medication reviews on a 1099 contract, plus collaborative practice agreements for practices that want me to adjust therapy under their protocols.
My services support your clinicians' care and never replace it.
Hormone therapy start-up and follow-up, side effect and dose questions, non-hormonal options, and genitourinary syndrome of menopause.
Postpartum blood pressure monitoring, glucose monitoring in gestational diabetes, medication safety in pregnancy and lactation, and contraception counseling.
Hypertension and cholesterol management, statin and other lipid therapy follow-up, and the rise in cardiovascular risk after menopause.
Prediabetes, type 2 diabetes, and GLP-1 therapy monitoring: dose titration, GI side effects, protein intake to protect muscle, and weight and glucose tracking.
Osteopenia and osteoporosis: DEXA follow-up, calcium and vitamin D, adherence to bone-building medications, and tracking treatment duration.
Women taking hormone therapy alongside medications for blood pressure, cholesterol, diabetes, mood, or sleep, prescribed by several different clinicians.
Delivered under your clinicians' general supervision, documented in your EHR, and billed under your practice's NPI.
For women living with two or more chronic conditions, such as hypertension with osteoporosis, or prediabetes with high cholesterol, which often arrive together in midlife. Each month I reconcile medications, update the care plan, follow up on adherence and side effects, coordinate with your team, and document to support billing.
Blood pressure, weight, and glucose monitoring for hypertension, postpartum blood pressure, prediabetes and type 2 diabetes, and women on GLP-1 therapy. I review readings, reach out to patients between visits, and escalate to your clinicians when readings cross the thresholds we agree on.
Comprehensive medication reviews for women taking hormone therapy alongside medications for blood pressure, cholesterol, diabetes, mood, sleep, or bone health. I check interactions and doses, look for medications that may no longer be needed, educate the patient, and send your prescriber a concise recommendation.
CCM requires two or more chronic conditions expected to last at least 12 months. Coverage of CCM and RPM varies among commercial plans, and we will review your payer mix together before starting.
Menopause care needs education, symptom tracking, and follow-up that rarely fit into a 15-minute visit. I support your patients from the first prescription through the first year, guided by current Menopause Society and ACOG guidance, and keep you informed at every step.
The result is better understanding and adherence for your patients, safer therapy use, and fewer portal messages and follow-up calls for your team.
A 1099 services contract for care billed by your practice, a collaborative practice agreement that lets me adjust medications under your protocol, or both.
I work with your practice on a 1099 contract, so there is no added payroll, benefits, or recruiting.
Services are delivered under your clinicians' general supervision, documented in your EHR, and billed under your practice's NPI.
A per-patient monthly fee for CCM and RPM, an hourly rate for medication reviews and protocol work, or a monthly retainer.
A business associate agreement, patient consent workflows, and monthly reports of time and services delivered for your billing team.
In person with practices in Olympia and Thurston County, and by telehealth across Washington, including rural and coastal practices. Missouri practices by telehealth.
A services contract lets me support your patients under your supervision. A collaborative practice agreement goes a step further: it lets me start, adjust, or stop specific medications for your patients by following a written protocol you approve, so a dose change does not wait for the next visit.
This is called a collaborative drug therapy agreement (CDTA): a written protocol between a prescriber in active practice and me. It names the conditions and medications covered, what I may start or adjust, and how I document and report back to you. It is filed with the Pharmacy Quality Assurance Commission and renewed every two years.
Menopause hormone therapy start-up and dose adjustment, vaginal estrogen, blood pressure and cholesterol therapy, prediabetes and type 2 diabetes, GLP-1 dose titration, and bone health therapy, each built on current Menopause Society, ACOG, and AUA guidance and national guidelines for each condition.
The agreement covers only the conditions, medications, and decisions you list, within your own scope of practice, and you receive a note on every change.
An agreement can stand alone or pair with CCM and RPM, so the pharmacist watching your patients' readings can act on them within the limits you set.
Midlife women often see three or more clinicians and take medications prescribed by each. I am the one person reviewing all of them together, with training focused on menopause and women's health.
I bring pharmacology, chronic disease management, and patient education to your team, and I act as a clinical buffer between visits.
I work with physicians, nurse practitioners, physician assistants, and administrators to fit your workflows, documentation, and billing.
Services can start with one population, such as postpartum blood pressure or women on GLP-1 therapy, and grow from there.
In a 30-minute call, we will look at which of your patients would benefit, which services fit your practice, and how billing would work.
Prefer email? victoria@womenmasteringmidlife.com