2025 IAC Survey Results: Moving from Anecdotes to Evidence

This year, the Ohio Counseling Association Insurance Advocacy Committee (IAC) took an important step forward: shifting advocacy from anecdote to evidence.

In support of provider-friendly legislation currently being discussed in Ohio, we gathered both survey data and concrete documentation from counselors across the state. The goal was straightforward—document patterns while remaining compliant with antitrust law and focusing on systemic practices rather than individual rate negotiations.

We collected responses from in-network professional counselors (n=52), the majority of whom practice in solo or group private practices. What emerged was not a collection of isolated concerns, but a pattern.

• 90% reported credentialing and paneling delays, often exceeding six months—and in some cases extending up to two years

• 75% reported reimbursement transparency concerns and inconsistent payment practices

• 75% experienced payment delays ranging from weeks to months after services were rendered

• 92% reported reimbursement rates perceived as too low

• 87% reported problematic clawbacks, frequently occurring 12–24 months after payment

• Only 14% have filed a grievance with the Ohio Department of Insurance, while 75% want education on how to file

  
  

One finding stands out: a significant regulatory awareness gap.

For every grievance filed, five additional providers report wanting guidance on how to file one. That gap highlights a clear need for education and support—not just data collection.

This is where advocacy begins to shift. Not just naming problems, but documenting them in a way that can be acted on. By collecting this evidence, we can advocate for real change from the insurance companies. We would love if you would join us!