Since Applied Behavior Analysis treatment became an effective autism benefit through private and public health insurance, there has been a great deal of friction between Behavior Analysts and health plans.
As more children are being diagnosed with autism, it is critical that these two entities come together, to ensure that those diagnosed with autism, and their families, receive the highest quality care and support.
How to build the payor-provider partnership:
- Arrange support/parent mediated intervention options while in the diagnostic process and/or while on waitlists for treatment
- Use a standardized method of treatment plan submission and utilization review to eliminate subjectivity
- Utilize an evidence-based tool to individualize care and aid in dosage recommendations
- Monitor and synthesize data to quantify progress
- Simplify processes to complete required standardized assessments to eliminate travel, co-pays, and waitlists
- Determine barriers to treatment and progress, working together for a solution
- Consider Social Determinants of Health to provide appropriate resources for the family
- Implement a Value-Based Care initiative to ensure high quality services
- Provide substantial caregiver training on ABA principles and techniques, offering remote/on-demand support
- Offer caregiver focused mental health support/resources to reduce anxiety, stress, and caregiver fatigue
If you have questions about improving your relationship with ABA providers, contact us and we’ll be glad to help.
