ABSTRACT
It is painfully apparent that for the past two decades reimbursement for psychotherapy has suffered in the following ways:
The reimbursement scales reflect master’s level providers who comprise the majority of provider networks and are willing to work for a lower fee.
When there is a differential payment for doctoral level psychologists, it is often paltry.
In most networks, any increases in payment over the years have been small, and when inflation is taken into account, fees have actually declined in real dollars.
Established psychotherapists who can attract a clientele able and willing to pay out of pocket are opting out of the networks.
