-pay for licensed therapists is not great due to the 40% “commission” MTG takes. I don’t use any of their services other than credentialing and billing and so the 40% is a pretty steep cut. I average $75-$78 a session with MTG, but at Headway I average $121 per session (with a lot less demand on me and access to better support tools). My private pay clients (I use Simple Practice pay $150 for individual and $200 for couples). Once the interstate counseling and social work licensing compacts go live in 2026, MTG will have an eve harder time competing with companies like Headway because I can be licensed in 14+ states and Headway will credential me with the relevant regional insurance companies and handle billing, while reimbursing me at an hourly rate that is $40-$50 higher an hour than at MTG. That will likely be when I leave MTG.
-If you’re a clinical supervisor over associates, the demands and liability for your is very high and the reimbursement does not at all match what is required of you, especially after the recently cut supervisor reimbursement rate by more than 50%. MTG makes a ton of money if licensed supervisors who may have up to 15 associates. That means one licensed provider with 15 associates and their own caseload may be bringing in revenue for 240 clients a week (average of 15 clients per provider), which at 40% commission = $11,000k+ per week for MTG off of one provider. And that’s on the low end. They need licensed providers or they wouldn’t be able to have the large volume of associates, which is the bulk of their contracted providers, thus they’d have astronomically lower client volumes. Licensed providers keep the lights on at MTG and should’ve reimbursed better for it
-their reimbursement system is unnecessarily messy and hard to track. They have a minuscule sliver of the market compared to much bigger companies like Headway, so they probably don’t have the cash flow to pay providers like Headway does but at Headway, I am paid 2 weeks after each session I complete, before insurance has even paid Headway. At MTG you’re not paid until insurance pays out, so don’t expect a paycheck for 8-12 weeks when you first start. It’s better once you’re in a regular payment cycle but that takes months as you’re building your caseload.