Behavioral health providers — including ABA practices — operate in a reimbursement environment that has historically undervalued their services relative to other healthcare specialties and relative to the actual cost of delivering high-quality care. Insurance reimbursement rates directly affect the clinical resources available to practices: the ability to hire and retain qualified BCBAs, maintain manageable caseload ratios, invest in supervision infrastructure, and sustain the intensity of services that effective ABA requires.
Provider: BehaviorLive — via Jade Health
Take This Course →Including ethics, supervision, and topics like this one. New live CEU every Wednesday.
Join Free →This session will explore how behavioral health organizations can harness publicly available pricing information to strengthen payer discussions, safeguard profitability, and fuel smarter organizational growth. Topics we'll explore: What insights transparency data can (and can't) provideSpotting reimbursement shortfalls compared to market standardsEquipping your negotiation team with actionable, relevant analyticsStrategies for handling carve-outs, escalators, and transitions to value-based careReal-world stories of hospitals using data to secure better contract termsDemystifying missing or unusual billing codes and rate discrepanciesAvoiding costly surprises by conducting regular "contract health checks" and proactively managing agreements between negotiation cycles Who should attend: Hospital leaders, chief financial officers, practice administrators, managed care professionals, contract negotiation teams, and revenue cycle managers Why this is important: With financial pressures mounting, every fraction of a percent in reimbursement matters. Hospitals that effectively utilize transparency data are gaining a competitive edge at the negotiating table—while those who ignore it risk significant financial losses.
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 0 | — |
| COA | 0.5 | — |
| QABA | 0 | — |
| IBAO | 0 | — |
| BICC | 0 | — |
Dan Schwarzlander (Founder/COO) is a dedicated healthcare analytics leader with a proven track record of helping behavioral health providers navigate today’s complex data landscape. At CIQ Health, Dan specializes in transforming raw healthcare data into actionable insights that empower provider organizations to optimize network participation, strengthen payer negotiations, and improve financial performance.Drawing on years of experience supporting providers and health plans, Dan leads the development of robust rate benchmarking and network analytics solutions designed specifically for behavioral health practices. He is a recognized subject matter expert in public rate data and compliance with the No Surprises Act, ensuring that providers have the clarity and confidence needed to make informed decisions in a rapidly evolving regulatory environment.Dan’s collaborative approach and deep understanding of provider challenges enable him to deliver tailored analytics that support network development, contract re-papering, and value-based care initiatives. By partnering closely with behavioral health organizations, Dan helps providers unlock new opportunities, enhance operational efficiency, and achieve sustainable growth in today’s competitive healthcare market.Dan holds a bachelor’s degree from the University of Nebraska and an Executive MBA from Washington University in St. Louis.
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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.