Are some states more difficult to operate in than others?
Absolutely. In Minnesota, we might average $125 an hour for reimbursement from insurance, but in Tennessee or Florida, maybe $65 an hour. And recruiting talent is really challenging if we’re not getting compensated for it.
Children’s mental health is a crisis, because there just aren’t enough child-focused providers to fill that gap, and insurance companies do not pay mental health professionals what they’re worth, especially for being master’s-level clinicians. So there’s this conundrum where insurance companies are desperate for us to be in their network, but they don’t want to pay enough to keep therapists employed.
Real Life of an MSW 
The disparity is alarming, there should be a standard
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In theory a standard reimbursement rate would be ideal. The reality is each region has a different cost of living, and each therapist has their own set of specialized skills and should be paid accordingly. So, there’s this conundrum, and I have no clear solution, but think it is worth an ongoing discussion.
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