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Maternal health is one of the few clinical areas where the right answer is almost never a single clinician type. Pregnancy, birth, postpartum, infant feeding and mental health are four professions with four different supply pictures.
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As of January 2026, 137 million Americans live in a federally designated Mental Health Professional Shortage Area. That's 40% of the country, according to HRSA's own quarterly data. A year earlier, the number was 122 million.
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Telehealth startups often miscalculate their margins by confusing a clinician's hourly bill rate with their actual Cost Per Visit (CPV). This guide breaks down the true formula for unit economics, highlighting how traditional agency markups and manual credentialing inflate costs, and how digital marketplaces like DirectShifts help secure profitable, predictable margins.

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