Seeking Guidance: Launching a Nurse Staffing Business the Right Way

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I'm in the process of starting a nurse staffing agency and wanted to open up a discussion with others who have gone through this journey or are currently navigating it. I'm trying to think through some key aspects such as how to get access to VMS/MSP platforms, whether it's more practical to pay RNs and other clinicians as 1099 contractors versus W-2 employees, and what the legal, tax, and insurance implications of each might be. I'm also considering the best way to structure contracts, manage credentialing, and ensure compliance with healthcare facility requirements. If anyone has tips, experience, or lessons learned — especially when it comes to getting that first facility contract or VMS approval — I'd really appreciate any insight. Thanks in advance!

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