Oh man, exactly! The public insurance (here it's oregon health plan) The amount of bullshit you have to go through for 1/3 of the reimbursement you'd get from a private insurance or a cash pay makes it so there are less and less providers who are willing to jump through the hoops. I once got a group note kicked back from insurance because "no group starts exactly on time". The group was at 5:00, person was there before hand.... Group of 12 people. Another time I marked all as attending at 5:01, but nope. That got all kicked back because there was "no way everyone showed up at the same time". So I tried explaining to my supervisor how absurd it was because I can only bill for the group time 5-6 pm, so would every client have to show up late, and not all leave at 6:00 pm as well?

So in 2021 I said fuck it, I need a year off.