this post was submitted on 11 Sep 2023
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[โ€“] restingboredface 12 points 11 months ago (1 children)

This is very accurate. I worked 5 years in a BH Insurance company. We saw shitty providers all the time, and we were constantly having to play the game of deciding how much we (and our members) could tolerate before cutting the providers out of the network. Cutting too many providers doesn't correct bad actors or replace providers for people who need them and can cause backlogs if other providers aren't available to take on their patients.

The only thing we were able to do to correct many providers by changing their pay to a value based model, so providers would get paid more for better outcomes (and sometimes only paid when patients improve). It would increase pay a lot over standard rates. But providers fought that big time. They just wanted to do things their way and cash a check of a set amount with little or no oversight.

Better help is used by providers as a way to supplement their income, and they typically pay a bit less than conventional appointments because of the digital channels. However, Ive heard they have some issues with data security on their platform and their matching system is pretty flawed due to their network being somewhat ephemeral.

If you do want to seek therapy, remember you have multiple ways to get it covered. Your health insurance probably has some coverage, and your employer (in the US) likely has an EAP program which will have coverage for therapy for at least a few sessions (typically 3-12) sessions. It's worth looking into that before paying out of pocket.

[โ€“] [email protected] 1 points 11 months ago

I get that Better Help isn't necessarily that great of a service, but therapy without Better Help is so ungodly expensive.

I was interested in therapy so I found a local provider that takes my insurance. Found out that even with insurance, it was going to cost me nearly $200 per session. So I passed on it because I'm not exactly in dire straits. I don't understand how average Joes afford regular therapy. Better Help's main advantage seems to be that it's actually affordable. Though granted, I've never used them so maybe it would still end up being that much with my particular insurance.