Michael Desposito

I would like to thank Dr. Jim Broyles and the Ohio Psychological Association for their leadership and ongoing work in helping provide guidance on this important issue. Their efforts to clarify evolving telehealth policies have been a valuable resource for behavioral health providers navigating these changes. Telehealth coverage for behavioral health services continues across major payers serving Ohio. I received a lot of communication in 2025 from professional counselors in the field having...

There is a difficult truth in today’s behavioral health economy: professional counselors are structurally disadvantaged in the insurance marketplace . Not because we lack skill or outcomes, but because we operate inside a legal and economic system that was not designed for small professional entities to negotiate on equal footing with large health systems. Federal antitrust law prevents independent providers from collectively negotiating reimbursement rates. We cannot coordinate pricing...