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Almost Everyone Wants to Switch. Almost No One Does.

Almost Everyone Wants to Switch. Almost No One Does.

Part One of MissionViewpoint's series: The Economics of Switching Practice Management Platforms After several hundred conversations with ABA operators over the past few years, one pattern has become hard to ignore. Almost everyone wishes something about their practice management platform were different. And almost none of them switch.

The Six New 2027 Adaptive Behavior CPT Codes & Impact on your Tech Stack

The Six New 2027 Adaptive Behavior CPT Codes & Impact on your Tech Stack

How Operating Layers Create Strategic Advantage & Adaptability

How Operating Layers Create Strategic Advantage & Adaptability

June 2026 Platform SCUBA Update

June 2026 Platform SCUBA Update

Provider SCUBA June 2026 Update

Provider SCUBA June 2026 Update

How Behavioral Framework Is Building an Operating Layer on Top of Its Systems

How Behavioral Framework Is Building an Operating Layer on Top of Its Systems

Provider Operations

Almost Everyone Wants to Switch. Almost No One Does.

Almost Everyone Wants to Switch. Almost No One Does.

Part One of MissionViewpoint's series: The Economics of Switching Practice Management Platforms After several hundred conversations with ABA operators over the past few years, one pattern has become hard to ignore. Almost everyone wishes something about their practice management platform were different. And almost none of them switch.

Every Provider Already Has an Operating Layer

Every Provider Already Has an Operating Layer

Untethering Your Operations from Your Tech Platform

Untethering Your Operations from Your Tech Platform

Why Change Is So Hard in Autism Care

Why Change Is So Hard in Autism Care

How Did a $792 Hourly Rate for Autism Services Make It Through?

How Did a $792 Hourly Rate for Autism Services Make It Through?

The Road From Medicaid Pressure Leads Directly to Prior Authorizations

The Road From Medicaid Pressure Leads Directly to Prior Authorizations

What the Coordination Layer Actually Needs to Look Like

What the Coordination Layer Actually Needs to Look Like

ABA Stack

Almost Everyone Wants to Switch. Almost No One Does.

Almost Everyone Wants to Switch. Almost No One Does.

Part One of MissionViewpoint's series: The Economics of Switching Practice Management Platforms After several hundred conversations with ABA operators over the past few years, one pattern has become hard to ignore. Almost everyone wishes something about their practice management platform were different. And almost none of them switch.

The Six New 2027 Adaptive Behavior CPT Codes & Impact on your Tech Stack

The Six New 2027 Adaptive Behavior CPT Codes & Impact on your Tech Stack

How Operating Layers Create Strategic Advantage & Adaptability

How Operating Layers Create Strategic Advantage & Adaptability

Why Every Provider Needs a Data Spine

Why Every Provider Needs a Data Spine

Every Provider Already Has an Operating Layer

Every Provider Already Has an Operating Layer

Untethering Your Operations from Your Tech Platform

Untethering Your Operations from Your Tech Platform

Why Change Is So Hard in Autism Care

Why Change Is So Hard in Autism Care

Market Outlook

How Did a $792 Hourly Rate for Autism Services Make It Through?

How Did a $792 Hourly Rate for Autism Services Make It Through?

When $792 an hour gets paid for routine autism therapy services — nearly nine times the national average in-network rate — the natural reaction is outrage at the provider billing it. But there's a more important question buried in that number. How did that claim make it through the

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

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

Newsletter

Investor Briefings

Motivity’s Calmanac Acquisition Is About More Than Practice Management

Motivity’s Calmanac Acquisition Is About More Than Practice Management

Last year, when Five Elms Capital invested $27M into Motivity, I wrote that the underlying strategic question was not the investment itself, but whether Motivity intended to evolve beyond a clinical platform into broader operational infrastructure for autism care organizations. This week's announcement provides a much clearer answer.

The KPIs Autism Care Relies On — and What They Miss

The KPIs Autism Care Relies On — and What They Miss

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

Topic: AI & Automation

How Operating Layers Create Strategic Advantage & Adaptability

How Operating Layers Create Strategic Advantage & Adaptability

Part Three of MissionViewpoint's series: The Rise of the Operating Layer The competitive advantages in autism services have traditionally been easy to recognize. Organizations competed through geography. Through recruiting. Through clinical quality. Through payor relationships. Through operational execution. Through scale. Those advantages aren't disappearing. But another

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

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

Platform SCUBA

June 2026 Platform SCUBA Update

June 2026 Platform SCUBA Update

Theme: Platform boundaries become more intentional Last month, several platforms expanded beyond their traditional areas of focus. This month, a different pattern emerged. Rather than simply adding features, vendors increasingly appear to be making deliberate decisions about what they will own—and what they will connect. Some are extending their

May 2026 Platform SCUBA Update

May 2026 Platform SCUBA Update

April 2026 Platform SCUBA Update

April 2026 Platform SCUBA Update

March 2026 Platform SCUBA Update

March 2026 Platform SCUBA Update

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

Provider SCUBA

Provider SCUBA June 2026 Update

Provider SCUBA June 2026 Update

⚠️ 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,

Provider SCUBA May 2026 Snapshot

Provider SCUBA May 2026 Snapshot

Provider SCUBA April 2026 Snapshot

Provider SCUBA April 2026 Snapshot

Provider SCUBA March 2026 Snapshot

Provider SCUBA March 2026 Snapshot

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

Operator Spotlight

How Behavioral Framework Is Building an Operating Layer on Top of Its Systems

How Behavioral Framework Is Building an Operating Layer on Top of Its Systems

What happens when a provider structures its data for execution—not just reporting David Iklodi joined Behavioral Framework in 2024 from investment banking. For the past two years, he’s been helping to improve operations at the company as VP of Operational Excellence. That background matters—not because finance and

Operator Spotlight: SpringHealth Behavioral Health: Bridging Gaps Across Age and Care Models

Operator Spotlight: SpringHealth Behavioral Health: Bridging Gaps Across Age and Care Models

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

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

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

Category: Practice Management

More

Almost Everyone Wants to Switch. Almost No One Does.

Untethering Your Operations from Your Tech Platform

Motivity’s Calmanac Acquisition Is About More Than Practice Management

The Systems That Scaled Autism Care

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