The 2026 Mid-Year Reality Check

The industry made several major predictions for behavioral health in 2026. We asked operators and clinicians running outpatient practices what's actually happening in their practices using a survey conducted across LinkedIn, Facebook and email.

Man completing survey on computer

What the 2026 data says and where the headlines missed

What you’ll learn:

  • Which parts of the revenue cycle are causing the most burden under increasing insurance payer pressures
  • What clinicians named as the real driver of burnout, which isn't what the workforce headlines claim
  • How value-based participation shifted since 2025, and why it still isn't paying most practices
  • Where behavioral health data breaches are landing in 2026 and how security tops the compliance focus for leaders
  • The full predictions-versus-reality scorecard, with the data and sources behind each verdict

Download the report

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  • For every 50-minute session, there's often 20-30 minutes of notes, treatment plans, prior authorizations, phone calls with insurance. Most clinicians didn't go into this field to fight billing codes.

    - Anonymous Licensed Therapist and Clinical Supervisor