Strategies Every ABA Practice Needs to Navigate Q2's Challenges
Trevor Clark, Head of Partnerships at Camber, and Ethan Schwarzbach, Co-Founder & CEO of Flychain, break down what's changing in the ABA market and what clinic owners can actually do about it.
5 min read
Introduction
Something has shifted in ABA. Clinic owners who spent years focused purely on serving families are now spending more and more time thinking about finances, and for good reason.
In a recent live session, Camber's Head of Partnerships, Trevor Clark, and Flychain's Co-founder and CEO, Ethan Schwarzbach, broke down exactly what's changing in the market, why it matters for small and medium-sized clinics, and what you can actually do about it. Below is a summary of the key topics covered. The full recording is available at the bottom of this page.
What We Covered
The market is shifting. Audits are increasing, payer rates are holding flat, and the cost of running a clinic keeps going up. Trevor and Ethan broke down why this is happening, what to expect over the next year, and the concrete steps clinics can take to protect their finances.
On the payer landscape:
Medicaid budgets are under pressure, payers are investing heavily in AI-powered audit tools, and states are starting to take more aggressive action, with others expected to follow.
On revenue cycle:
In a flat-rate environment, the biggest opportunity is making sure you're actually collecting everything you've already earned. That means addressing partial payments, cleaning up write-offs, billing for every service you're entitled to, and submitting clean claims the first time.
On cash flow:
Why clinics should build a three-month cash flow forecast and why many clinic owners are basing decisions on the wrong revenue numbers.
Key Takeaways
Audits are coming; prepare now, not after
Build audit readiness into your operations before you receive a notice. Get outside perspective on documentation standards and develop a real contact at your major payers.
The revenue you've already earned is your biggest lever
With rates unlikely to move, every dollar you're owed matters more. Focus on partial payments, write-off strategies, under-billed services, and patient responsibility collections.
Clean claims protect more than your cash flow
Submitting clean claims reduces denials, shortens reimbursement timelines, and prevents care disruptions that hurt families and erode revenue.
Build a real cash flow forecast
Three months is the right horizon. Know your per-payer days-outstanding and use actual collection rates (not billed amounts) as your revenue inputs.
Commercial payers are not insulated from this
Don't assume that what's happening with Medicaid won't reach your commercial contracts. Plan accordingly.
The session goes deeper on each of these topics, including specific frameworks for audit preparation, revenue cycle optimization, and cash flow modeling. Access the full recording below.
Watch the Complete Webinar Session
What's inside:
- •Full session recording
- •Revenue cycle optimization strategies
- •Cash flow forecasting guidance
- •Q&A with Trevor Clark and Ethan Schwarzbach