Send us Fan Mail (Part 1 of 2) Grab a seat and pour yourself a cold one! In this episode, Mike and Dan are cracking open the white paper from Optum, titled "Low Hours, High Impact". For years, the "more is better" 40-hour-a-week model has been the industry standard, but the data is starting to tell a different story. We’re diving deep into the science and the shift toward Value-Based Care, exploring how focused, high-quality interventions can sometimes move the needle further than pure volume...

ABA on Tap

Mike Rubio, BCBA & Dan Lowery, BCBA (co-Hosts) & Suzanne Juzwik, BCBA (Producer)

A Fresh Keg of Value-Based Care: Optum's 'Low Hours, High Impact' with Mike and Dan (Part I)

APR 12, 202651 MIN
ABA on Tap

A Fresh Keg of Value-Based Care: Optum's 'Low Hours, High Impact' with Mike and Dan (Part I)

APR 12, 202651 MIN

Description

Send us Fan Mail(Part 1 of 2) Grab a seat and pour yourself a cold one! In this episode, Mike and Dan are cracking open the white paper from Optum, titled "Low Hours, High Impact".For years, the "more is better" 40-hour-a-week model has been the industry standard, but the data is starting to tell a different story. We’re diving deep into the science and the shift toward Value-Based Care, exploring how focused, high-quality interventions can sometimes move the needle further than pure volume.In this "pour," we’re serving up:The 40-Hour Hangover: Why the "intensive" model might not always be the most effective for every learner, especially the little ones.Efficiency on Tap: Breaking down Optum’s findings on how lower-intensity, high-precision services can drive meaningful clinical outcomes.The Payer’s Perspective: A look at how major payers like Optum are redefining "Medical Necessity" and what that means for your clinic's billing and documentation in 2026.Quality over Quantity: How to advocate for the right amount of hours without sacrificing progress or burning out your RBTs.Whether you're a BCBA navigating authorization battles or a business owner looking at the future of ABA funding, this episode delivers the straight talk you need—minus the boring jargon.Tune in, drink up, and always analyze responsibly. Support the show🔥 Enjoyed this episode? Don’t forget to subscribe, rate, and review on your favorite podcast platform!📢 Connect with Us:🔗 Website: https://abaontap.com🎧 TikTok: https://www.tiktok.com/@aba.on.tap.podcast📸 Instagram: https://www.instagram.com/abaontap/ 🎥 YouTube: https://www.youtube.com/@ABAonTap💼 LinkedIn: https://www.linkedin.com/company/aba-on-tap💡 Support the Show:☕ Love what we do? Buy us a virtual drink! Support ABA on Tap🎙️ Interested in sponsoring? Partner with us🚀 Join the ABA on Tap Community! Stay updated on the latest episodes, live events, and exclusive content.🎧 Analyze Responsibly & Keep the Conversation Going! 🍻