Aug 9 episode on behavioral/mental health care
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“I am a therapist and I feel there are a lot of
Important nuances that are being left out of the conversation here and elsewhere, including the Biden proposal. It’s frustrating to me that the bulk of this conversation is being led by policy experts and not the people on the ground providing care.
First and foremost, the mental health reimbursement rate from most insurance companies is simply inadequate to provide quality care. It’s not just “not lucrative” it’s just not enough. It’s expensive to become a therapist. It’s 2 years in a graduate program plus post graduate supervision as well as licensure fees and continuing education. Then we have to pay for expenses as well as our own livelihoods. A huge chunk of therapists are also small business owners who need to figure out their insurance, retirement, etc, and the reimbursement rate is just too low. So we leave the networks for our own survival. Most therapists really don’t want lucrative, they just want enough to feel financially stable.
Second, people come to therapy for a lot of different reasons, just like some people go to the doctor for a lot of different reasons. If you have a therapist seeing mostly low risk patients with strong support networks, they can take a much higher caseload than clients who take high risk or complex cases, yet the reimbursement rate is the same. 45 min of therapy is 45 min of therapy regardless of the diagnosis or work outside of session.
Also, none of that work outside of face to face therapy is compensated. If I have a patient who needs to seek inpatient care and I have to coordinate with the care team at the hospital, that could be hours, but I won’t get paid.
This is ESPECIALLY burdensome and problematic for therapists of color, who are more likely to have higher student loan debt and less likely to have any generational wealth to lean on. There is a reason people of color cannot find therapists of color and it’s because the system is horrible for them. Horrible behind reimbursement rates but that’s for another day.
Yes, insurance providers put up barriers for patients that make it harder for them to access care. That needs to be stop. But until therapists are paid what they are worth for their work, the issue simply will not be solved.”
Mphase via Apple Podcasts ·
United States of America ·
08/15/23
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