09/20/2023
This is a really tough one. But when providers are undervalued and overworked by insurances, it is going to happen. �
One reason insurances have so much power is because they don't answer to providers.
But they do care about maintaining a large network for their customers (employers / individuals).
When providers start going out-of-network it puts them in a tough position.
Their members with OON benefits still expect decent coverage - since that is what they are paying for.
Appeasing them means covering a decent amount of the rate that the provider sets.
When enough providers go out of network, it becomes a real problem.
People are forced to go with providers that don't accept their insurance directly, and want their insurance to cover a majority of the cost.
This is definitely not a long-term solution and puts people at risk of not getting the care they need.
But what we're seeing in the mental health space is eye opening for providers across all disciplines.
Providers don't need to play by the rules of insurance.
When your client can get reimbursed $180 of your $200 cash fee, from an insurance that was only offering you half of that to be in-network...
It's a no brainer.
for your therapy sessions to save automatically and never wait for insurance reimbursements again!