

Financial Clarity for BH Leaders
Description
Most behavioral health practice owners have no idea whether their contracted rates are good, bad, or somewhere in between — and payers are counting on it. Even a small per-unit difference on a single CPT code can add up to tens of thousands in lost revenue per clinician per year. This session is about closing that information gap and taking control of your payer relationships.
You'll Walk Away With
Why payer mix matters: how over-reliance on a single payer (especially Medicaid) puts your practice at risk — and what a healthier mix looks like
How to benchmark your contracted rates against market data using publicly available Transparency in Coverage Act data
What to actually expect when negotiating commercial rates as an independent practice — the process, the data you need, and realistic timelines
How to strengthen your case beyond just arguing about numbers — using outcomes data, clinical quality, and geographic coverage
When it makes sense to bring in a rate negotiation consultant — and how to evaluate if it's worth it
This is for: BH practice owners who haven't renegotiated their contracts recently, or who've never had the data to know if their rates are competitive.