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Provider SCUBA November 2025 Snapshot

Provider SCUBA November 2025 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 can lag payroll, and provider websites are rarely updated in real time. But across 130+ organizations, these unscientific signals still

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

A workforce-centric philosophy that shaped their systems, their culture, and their scale Most ABA organizations modernize HR only after something breaks. Payroll headaches accumulate, onboarding becomes chaotic, or turnover exposes cracks that were always there. Only then does the organization look for better systems. Akoya Behavioral Health flipped that sequence.

A Data-Driven Framework for Choosing Your Next ABA Clinic Location

A Data-Driven Framework for Choosing Your Next ABA Clinic Location

Using Clinivise’s public workforce and hiring data to evaluate where — and whether — to open a clinic in Indiana. I recently ran across a new set of public-facing datasets from Clinivise — certificant counts, county-level growth, job demand, wage distributions, and local provider saturation. It’s the first time I’ve

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

Note: The AMA CPT Editorial Panel approved six new autism-related CPT codes in September 2025, effective January 1, 2027. Final code descriptors remain confidential until publication in the 2027 CPT® Professional Codebook. The six categories outlined below are interpretive themes — a technology and operations lens on what these codes are

📬ABA Mission Viewpoint Monthly Update – November 2025

📬ABA Mission Viewpoint Monthly Update – November 2025

The Mission of ABA Mission 👉To drive more—and better—access to ABA care through the smarter use of technology and data. Welcome to the November 2025 Monthly Update This month’s theme is Building Agility under Payor Pressure & new Therapy Delivery models. Across the ABA landscape, pricing pressure

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

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

Nearly every recent conversation I’ve had with friends and colleagues carries an undercurrent of anxiety about what artificial intelligence will mean for people trying to find and keep good jobs. The tone is often uneasy — as if the shift has already begun and there’s no turning back. That

October 2025 SCUBA Platform Update

October 2025 SCUBA Platform Update

If September felt like a sprint, October felt more like a systems check. Most platforms kept hiring in check, a few launched new automation tools or partnerships, and the rest focused on tightening what’s already in place. ✅ Platform Milestones & Product Enhancements * Passage Health introduced an AI-powered session-note feature,

The Invisible Layer in ABA Delivery: Behavioral Health Management Organizations

The Invisible Layer in ABA Delivery: Behavioral Health Management Organizations

When we talk about access to ABA therapy, most people think about two players: the payor (insurance company or Medicaid plan) and the provider (the ABA organization delivering care). But in many markets, there’s a third, often invisible layer that determines how and when therapy actually happens: Behavioral Health

Provider SCUBA October 2025 Snapshot

Provider SCUBA October 2025 Snapshot

Scott’s Completely Unscientific Behaviorist Assessment ⚠️ Methodology Reminder This isn’t a census. LinkedIn misses many direct care staff, and headcounts can lag actual payroll. State counts come from provider websites, which may not always be current. But across 130+ providers, directional shifts highlight market momentum — which is often more

Operator Spotlight: Yellow Bus ABA

Operator Spotlight: Yellow Bus ABA

Family Roots and a Talent-First System for Scaling in New York Most of my Operator Spotlights focus on the largest ABA providers, because their decisions on technology, staffing, and operations tend to ripple across the entire industry. They have the scale to influence payors, vendors, and workforce norms in ways

CentralReach Leadership: Some changes in the Kitchen

CentralReach Leadership: Some changes in the Kitchen

At a restaurant, when a diner asks the maître d’ if everything is okay in the kitchen, the usual answer is a confident “Yes, everything is fine.” Customers expect continuity, even when things shift behind the scenes. That’s the image that comes to mind following this year’s CR

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

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

Bots, AI, and automation are reshaping revenue cycle management, but clean data and payor expertise still decide who gets paid. For most ABA leaders, the RCM question used to be: Who does the billing? Today, it’s: How well does your billing logic reflect payor reality? This post builds on

The New ABA Operator Persona

The New ABA Operator Persona

How a new generation of non-clinical, tech-native founders is reshaping how ABA organizations scale A Different Kind of ABA Leader For much of the industry’s history, providers were led either by clinicians (BCBAs who grew into executives) or private-equity-backed operators focused on rapid scaling. Both models had clear strengths,