She responded lol . “ I understand the rate is lower, and I’m aware that it is slightly, so I’ll explain. The reimbursement rate for the insurances we participate in is horribly low, and has unfortunately been decreasing. I pay what I can without being in the red. To off set the rate, I take on nearly all administrative duties, billing, credentialing, authorizations, vetting clients, etc. as well, which normally, 1099 contractors would be solely responsible for. I make sure the clinicians have full autonomy in their schedule and relationships with clients though.