Negotiating Insurance Contracts with KPIs belongs in serious BCBA study because it shapes whether behavior-analytic decisions stay useful once they leave a clean training example and enter clinic sessions and day-to-day service delivery. In Negotiating Insurance Contracts with KPIs, for this course, the practical stakes show up in service continuity, accurate reporting, and defensible clinical decisions, not in abstract discussion alone.
Provider: BehaviorLive — via ABA Growth Team, LLC.
Take This Course →Including ethics, supervision, and topics like this one. New live CEU every Wednesday.
Join Free →This course provides information on how to set up and monitor Key Performance Indicators (KPIs), and how to use KPI data as evidence of quality to renegotiate rates from insurance payors. Participants will learn about: Key Performance Indicators (KPIs), and how they can effectively be utilized to measure performance in key areas of your company, including clinical, operational, and client onboarding. Which subset of KPIs will be most critical to track in order to provide leverage for negotiations with insurance payors. The 3 key factors to use in negotiation of insurance reimbursement rates with payors, including cost analysis, network adequacy, and quality as measured by KPIs. A sample negotiation letter template is provided as part of the training.
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 2 | General |
Dan is a serial entrepreneur with over 35 years of experience in the healthcare and publishing industries.In 2005, he was co-founder and CEO of DocZone, a cloud-based content management, language translation and delivery platform. DocZone had a successful exit in 2009 after being acquired through a venture capital transaction.In 2013, Dan became CEO and co-founder of Compass Innovative Behavior Strategies, a behavioral health provider for individuals with Autism and other developmental disabilities. Compass grew to be the largest ABA provider in the state of NH, with 4 clinic locations, a private school, a transportation division, and over 150 staff. In July 2021, Compass was acquired by a national ABA service provider, and Dan served on their executive team for 2 years.In 2023, Dan founded ABA Growth Team, providing executive coaching services, comprehensive video training for business and clinical topics, and "INsourced" support for non-clinical functions (digital marketing, scheduling, intake management), with a focus on serving startup/early stage ABA businesses. Dan specializes in helping ABA startup businesses to create a strong foundation built on best practices and healthy financial management.
Side-by-side comparison with a clinical decision framework
Research-backed educational guide for behavior analysts
Research-backed answers to common clinical questions
All behavior-analytic intervention is individualized. The information on this page is for educational purposes and does not constitute clinical advice. Treatment decisions should be informed by the best available published research, individualized assessment, and obtained with the informed consent of the client or their legal guardian. Behavior analysts are responsible for practicing within the boundaries of their competence and adhering to the BACB Ethics Code for Behavior Analysts.