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Who Picks up the Dropped Baton?

Who Picks up the Dropped Baton?

Autism care is delivered across multiple systems. They don’t function as one. That’s the problem. "Why Autism Care Coordination Breaks" showed that no system connects care across disciplines, environments, or time. A natural question follows: if no system connects care, can one domain—like ABA—expand

Why Autism Care Coordination Breaks — Systems That Don’t Function as One

Why Autism Care Coordination Breaks — Systems That Don’t Function as One

Your Measurement Framework Is Only as Good as the Data You Actually Own

Your Measurement Framework Is Only as Good as the Data You Actually Own

March 2026 Platform SCUBA Update

March 2026 Platform SCUBA Update

The KPIs Autism Care Relies On — and What They Miss

The KPIs Autism Care Relies On — and What They Miss

Provider SCUBA March 2026 Snapshot

Provider SCUBA March 2026 Snapshot

Provider Operations

Why Autism Care Coordination Breaks — Systems That Don’t Function as One

Why Autism Care Coordination Breaks — Systems That Don’t Function as One

This is the first piece in a series examining how autism care is delivered across systems—and why it isn’t designed as one. Autism care is delivered across multiple settings, each operating on different systems. ABA, therapy services, schools, and medical care often serve the same individual on the

The KPIs Autism Care Relies On — and What They Miss

The KPIs Autism Care Relies On — and What They Miss

The One Assignment That Tells You Everything About Your Operation

The One Assignment That Tells You Everything About Your Operation

Provider Consolidation Reality: Why Value Breaks Before It’s Realized

Provider Consolidation Reality: Why Value Breaks Before It’s Realized

The Medicaid Autism “Racket”? A Systems & Process Problem Hiding Inside the Headlines

The Medicaid Autism “Racket”? A Systems & Process Problem Hiding Inside the Headlines

When Integration Fails to Tame Behavioral Risk

When Integration Fails to Tame Behavioral Risk

What Happens After You Own the Care Plan

What Happens After You Own the Care Plan

ABA Stack

Your Measurement Framework Is Only as Good as the Data You Actually Own

Your Measurement Framework Is Only as Good as the Data You Actually Own

This is the third piece in a series on what success actually looks like in autism care. The first examined whether organizations can see clearly. The second examined whether the metrics they rely on actually mean what they think they do. This one examines something more fundamental: whether organizations actually

When the Autism Tech Stack Becomes the Risk

When the Autism Tech Stack Becomes the Risk

The Six New Autism CPT Codes Coming in 2027 — A Data & Infrastructure Shift, Not a Billing Shift

The Six New Autism CPT Codes Coming in 2027 — A Data & Infrastructure Shift, Not a Billing Shift

CentralReach Leadership: Some changes in the Kitchen

CentralReach Leadership: Some changes in the Kitchen

The Best De Novo Decisions Start with Meaningful Data

The Best De Novo Decisions Start with Meaningful Data

Manage Your Vendors—or Be Managed by Them

Manage Your Vendors—or Be Managed by Them

After Intake: Should CRM Still Play a Role in ABA?

After Intake: Should CRM Still Play a Role in ABA?

Market Outlook

Why Autism Care Is Ripe for Consolidation — and Why It Keeps Failing

Why Autism Care Is Ripe for Consolidation — and Why It Keeps Failing

Recent events — from valuation compression in vertical healthcare software to restructuring within managed behavioral health — reinforce how unsettled parts of the autism ecosystem remain. Capital markets are reassessing durability assumptions. Infrastructure bets are being recalibrated. But even if financing conditions stabilize and enterprise platforms regain footing, provider consolidation faces a

When Integration Fails to Tame Behavioral Risk

When Integration Fails to Tame Behavioral Risk

How Autism Care Actually Scales: A Systems View

How Autism Care Actually Scales: A Systems View

Bold Prediction: AI Will Actually Create Jobs in the Autism Field

Bold Prediction: AI Will Actually Create Jobs in the Autism Field

The New ABA Operator Persona

The New ABA Operator Persona

Choosing the Right HR Platform for ABA Providers

Choosing the Right HR Platform for ABA Providers

How Integrated Data Scales ABA Care — From Silos to Signals (Motivity Motivators Podcast)

How Integrated Data Scales ABA Care — From Silos to Signals (Motivity Motivators Podcast)

Newsletter

Investor Briefings

The KPIs Autism Care Relies On — and What They Miss

The KPIs Autism Care Relies On — and What They Miss

This is the second piece in a series on what success actually looks like in autism care. The first examined whether organizations can see clearly. This one examines whether the metrics they rely on actually mean what they think they do. Autism care does not lack KPIs. Most organizations track

Provider Consolidation Reality: Why Value Breaks Before It’s Realized

Provider Consolidation Reality: Why Value Breaks Before It’s Realized

Autism M&A Is Active — But True Consolidation Still Hasn’t Arrived

Autism M&A Is Active — But True Consolidation Still Hasn’t Arrived

Why Autism Care Is Ripe for Consolidation — and Why It Keeps Failing

Why Autism Care Is Ripe for Consolidation — and Why It Keeps Failing

When Integration Fails to Tame Behavioral Risk

When Integration Fails to Tame Behavioral Risk

When the Autism Tech Stack Becomes the Risk

When the Autism Tech Stack Becomes the Risk

Why the Viventium–Apploi Deal Makes Sense — and Why I Expect More Platform Consolidation Ahead

Why the Viventium–Apploi Deal Makes Sense — and Why I Expect More Platform Consolidation Ahead

Topic: AI & Automation

Your Measurement Framework Is Only as Good as the Data You Actually Own

Your Measurement Framework Is Only as Good as the Data You Actually Own

This is the third piece in a series on what success actually looks like in autism care. The first examined whether organizations can see clearly. The second examined whether the metrics they rely on actually mean what they think they do. This one examines something more fundamental: whether organizations actually

When the Autism Tech Stack Becomes the Risk

When the Autism Tech Stack Becomes the Risk

The Hidden Cost of Building Your Own Stack in the Age of AI

The Hidden Cost of Building Your Own Stack in the Age of AI

From Early Acceptance to Deeper Reach: Why Claude for Healthcare Matters in Autism Care

From Early Acceptance to Deeper Reach: Why Claude for Healthcare Matters in Autism Care

Bold Prediction: AI Will Actually Create Jobs in the Autism Field

Bold Prediction: AI Will Actually Create Jobs in the Autism Field

Automation Can Accelerate ABA Billing — But Only If Payor Knowledge Keeps Pace

Automation Can Accelerate ABA Billing — But Only If Payor Knowledge Keeps Pace

After Intake: Should CRM Still Play a Role in ABA?

After Intake: Should CRM Still Play a Role in ABA?

Platform SCUBA

March 2026 Platform SCUBA Update

March 2026 Platform SCUBA Update

Theme: Platform activity shifts from features to architecture and execution Most updates this month centered on integrations, execution layers, and underlying platform changes. 📉 Market Signals & Hiring Trends There were no broad structural changes in platform hiring patterns this month. Headcount remains largely stable. Open roles diverged modestly across vendors.

February 2026 Platform SCUBA Update

February 2026 Platform SCUBA Update

January 2026 Platform SCUBA Update

January 2026 Platform SCUBA Update

December 2025 Platform SCUBA Update

December 2025 Platform SCUBA Update

November 2025 SCUBA Platform Update

November 2025 SCUBA Platform Update

October 2025 SCUBA Platform Update

October 2025 SCUBA Platform Update

🔎 September 2025 SCUBA Platform Update

🔎 September 2025 SCUBA Platform Update

Provider SCUBA

Provider SCUBA March 2026 Snapshot

Provider SCUBA March 2026 Snapshot

⚠️ Methodology Reminder SCUBA = Scott’s Completely Unscientific Behaviorist Assessment — a deliberately imperfect, directional look at staffing momentum across ABA providers. This is not a census. LinkedIn undercounts direct-care staff, headcount lags payroll, and public job postings reflect intent more than execution. But across 130+ organizations tracked consistently over time, these

Provider SCUBA February 2026 Snapshot

Provider SCUBA February 2026 Snapshot

Provider SCUBA January 2026 Snapshot

Provider SCUBA January 2026 Snapshot

Provider SCUBA December 2025 Snapshot

Provider SCUBA December 2025 Snapshot

Provider SCUBA November 2025 Snapshot

Provider SCUBA November 2025 Snapshot

Provider SCUBA October 2025 Snapshot

Provider SCUBA October 2025 Snapshot

Provider SCUBA September 2025 Snapshot

Provider SCUBA September 2025 Snapshot

Operator Spotlight

Operator Spotlight on Lighthouse Autism Center: Scaling Diagnostic Capacity Without Compromising Rigor

Operator Spotlight on Lighthouse Autism Center: Scaling Diagnostic Capacity Without Compromising Rigor

Lighthouse Autism Center operates at a scale where clinical decisions become operational systems. As a multi-state ABA provider serving families across the Midwest, its diagnostic workflows cannot rely on individual heroics. They must be repeatable, defensible, and consistent across locations. When Dr. Steph Luallin joined Lighthouse four years ago, there

Operator Spotlight: Wild Sun Behavioral Services - Preserving a Human Centered Care Model

Operator Spotlight: Wild Sun Behavioral Services - Preserving a Human Centered Care Model

Operator Spotlight: Caravel Autism Health’s CR Mobile Rollout as a Change Management Playbook

Operator Spotlight: Caravel Autism Health’s CR Mobile Rollout as a Change Management Playbook

Operator Spotlight on Jaybird ABA: Designing a Clinician-First Practice without Leaving the Floor

Operator Spotlight on Jaybird ABA: Designing a Clinician-First Practice without Leaving the Floor

Operator Spotlight: How Akoya Built a People-First Operating Model From Day One

Operator Spotlight: How Akoya Built a People-First Operating Model From Day One

Operator Spotlight: Yellow Bus ABA

Operator Spotlight: Yellow Bus ABA

Operator Spotlight: How InBloom Reframed Scheduling as a Strategic Advantage

Operator Spotlight: How InBloom Reframed Scheduling as a Strategic Advantage

Category: Practice Management

More

Why Autism Care Coordination Breaks — Systems That Don’t Function as One

Your Measurement Framework Is Only as Good as the Data You Actually Own

January Payor Changes: A Provider Problem that is best mitigated with Process

A Deep Dive into the ABA Software Platform Landscape: Hiring

A Deep Dive into the ABA Software Platform Landscape: CRM Operations