2025 IAC Survey Results: What the Documentation Revealed

Survey data tells part of the story. Documentation fills in the rest.

In addition to survey responses, the IAC compiled approximately 107 pages of fully redacted documentation to support legislative discussions. All identifying information and metadata were removed to ensure confidentiality and compliance with antitrust law.

What emerged from that documentation were consistent systemic patterns:

• Rate reductions

• Paneling delays extending beyond one year

• Clawbacks occurring outside designated timeframes

• Contracts reportedly lost within insurer systems

• Rate changes implemented without clear notification

• CPT code monitoring practices

• Contracting complications when clinicians were affiliated with competing platform entities

This information was not gathered to coordinate pricing or negotiate collectively. The focus remains firmly on administrative practices, transparency, and access to care.

That distinction matters.

Within current legal boundaries, counselors cannot collectively negotiate rates—but we can document patterns that affect how care is delivered and accessed. This effort demonstrates what responsible, compliant advocacy can look like in practice.

It also reinforces something many counselors already know intuitively: