Counseling Care

Behavioral Health · Multi-state

How Counseling Care reset commercial rates after years of behavioral health under-reimbursement.

A multi-state behavioral health group used Aroris to surface and negotiate rate gaps that had silently widened during the post-pandemic surge in demand.

+18.4%
Average rate increase on commercial therapy codes
$310K
Annualized revenue recovered in the first 12 months
52 days
From onboarding to first signed contract amendment

Sample case detail for layout review. Final figures and copy pending client approval.

Practice
Counseling Care
Specialty
Behavioral health, outpatient
Providers
26 licensed therapists, 4 psychiatrists
Location
Multi-state (NC, SC, GA)
Services used
Optimization, Negotiation
Engagement length
12 months

The situation

After three years of growth driven by post-pandemic demand, Counseling Care’s rates had not kept pace. Behavioral health rates are notoriously sticky and notoriously hard to benchmark. Most practices simply accept the payer’s first offer because the data to push back doesn’t exist.

What Aroris did

We brought our behavioral-health-specific dataset and built rate cases focused on the highest-volume therapy codes. The team had defensible asks within the first month, and we coached the negotiation cadence across four commercial payers.

  • Ran Counseling Care’s claims against the Aroris behavioral health code dataset.
  • Identified five high-volume CPTs where the practice was meaningfully below market.
  • Sequenced negotiations across four commercial payers, starting with the most rate-sensitive.
  • Trained finance staff on payer escalation tactics to maintain pressure across cycles.

The outcome

Counseling Care signed an average +18.4% across the targeted codes within 12 months. Annualized revenue recovery: $310K, without changing payer mix or growing provider count. The practice now runs an annual rate-review cadence with Aroris alongside its operating cycle.

“Behavioral health is supposed to be impossible to negotiate. Aroris just made it routine for us.”
Clinical Operations Director
Counseling Care

About Counseling Care

Counseling Care is a behavioral health group with 26 licensed therapists and 4 psychiatrists serving North Carolina, South Carolina, and Georgia.

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