The dirty secret no one in ABA wants to say out loud? Billable hours are running the show.

In this unapologetically disruptive episode, we expose the uncomfortable truth about how the relentless push for ABA billable hours is reshaping the quality of care. When productivity quotas outweigh client progress, supervision gets rushed, treatment becomes templated, burnout spikes, and ethical gray zones start to feel routine. We dig into how financial incentives are influencing clinical decisions and what it means for BCBAs, RBTs, families, and most importantly, clients. At what point does the focus shift from meaningful outcomes to better invoices?

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