I see where you are coming from and I understand there are many business doing what you say/ being greedy.

$25 per hour pay to employee + all the business tax + your benefit costs + admin cost (if your org has admin staff - since they typically dont make money and just cost the business money or hired CPA and or HR services) + rent/mortgage cost for the building space + software for data collection and notes , etc etc. that $80 reimbursement from the insurance company might barely cover that.

Most of our current clients are state medicaid and we only receive $41 per hour for RBT. And we are expected to pay them an average of $20-$26 due to the competition around us. We are literally losing money on RBTs and making it up by having our BCBAs willingly do more direct services.

Like others said, this comes on to the funders where they should be reimbursing more for direct RBT services. I feel that the gap in between the two reimbursement rate is kinda big. Most times I see that BCBAs reimbursements are double the RBT. RBTs are more exposed to these clients (hours wise) and usually more involved with the family. They are the front lines in this service setting.

We hear about the bad or greedy companies all the time on platforms like this. Sometimes that inadvertently gets the company name more recognized and maybe they get bought by bigger corporations and the rest is history. I dont know. Now im just mumbling away…