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Practice & Policy · 11 min read · Field Notes

When Alma Gets Acquired by Spring Health and Then Cuts Your Pay, That Is Not a Platform — That Is a Pipeline

2026-07-12 · Updated 2026-07-16 Matthew Sexton, LCSW, NATC All Field Notes

Correction — July 16, 2026 This article originally reported, as settled fact, that Aetna's July 15, 2026 elimination of the 90837/90834 session-length differential, the high/moderate E&M complexity differential, and the doctoral-to-master's pay gap would take effect as announced — including estimated annual income-loss figures of $16,000–$23,000 and $5,000–$15,000 built on that full-flattening scenario. Per Alma's own July 9, 2026 email to its members, reported by Navigating the Insurance Maze (Barbara Griswold, LMFT), Aetna "partially reverse[d]" those changes after pushback from Alma's clinicians and the professional associations that got involved: the 90837/90834 and 99214/99215 differentials remain, and reimbursement will continue to reflect degree type and training rather than one flat rate. Aetna's final rates still reflect an overall reduction in reimbursement, though no dollar figure for the post-reversal rates has been published, and Aetna has not publicly confirmed the reversal itself — this is Alma's characterization of its own negotiation, reported by a single outlet. We've corrected the article below and removed the income-loss estimates, which described a scenario that did not take effect as announced. — Matthew Sexton, LCSW, NATC
Quick answer Spring Health closed its acquisition of Alma on May 1, 2026 (Spring Health, May 2026). Nineteen days later, on May 20, Alma told its more than 24,000 contracted clinicians that Aetna would flatten their reimbursement effective July 15, 2026 — eliminating the extended-session pay bump, the complexity differential, and the doctoral-versus-master's pay gap (Behavioral Health Business, May 21, 2026). Then, per Alma's July 9 email to members, Aetna partially reversed course after clinician and professional-association pushback: those differentials stay in place, though Aetna's final rates still reflect an overall reduction (theinsurancemaze.com, July 13 update). The acquisition didn't directly cause the cut, but the timeline shows exactly where the leverage sits once you're inside one of these platforms: with the platform's owners, and with whoever the platform has to negotiate with — not with you. — Matthew Sexton, LCSW, NATC

A merger closes. Three weeks pass. Then the rate letter arrives. If that sequence feels familiar, it's because this is the second time in two years an enablement platform's clinicians found out about a pay cut after someone upstream had already decided it.

What actually happened, in order

Spring Health finished acquiring Alma on May 1, 2026, a deal the two companies first announced January 29, 2026 (Spring Health, May 2026; Fierce Healthcare). Neither company disclosed a deal price. Spring Health's last public valuation, from an earlier funding round, was $3.3 billion. That number is scale context, not what changed hands here.

On May 20, 2026, less than three weeks after the deal closed, Alma emailed its network. Aetna would be flattening reimbursement for Alma-contracted therapists, effective July 15, 2026, the letter said (Behavioral Health Business, May 21, 2026). Three specific differentials were set to disappear. The pay gap between a 53-plus-minute session (CPT 90837) and a standard 37-to-52-minute session (90834) would close. The gap between high- and moderate-complexity evaluation and management coding would close. And the higher rate doctoral-level providers, PhDs and PsyDs, had been earning over master's-level clinicians would drop to match the master's rate. (Aetna partially reversed this plan before it took effect — see the correction above.)

What the cut actually costs

Numbers matter here, because "reimbursement flattening" hides what it means in an actual paycheck — which is why Behavioral Health Business ran cost estimates at the time, for a doctoral-level provider running a heavy 90837 caseload and separately for a therapist with a general full-time caseload (Behavioral Health Business, May 21, 2026). Those estimates were built on the full-flattening scenario Alma originally announced. Per Alma's July 9 email to its members, Aetna didn't fully flatten the rates — so we're not republishing BHB's original dollar figures here, since they described a scenario that didn't take the form it was announced to take. What is confirmed: Aetna's final rates still reflect an overall reduction, by Alma's own characterization, reported by a single outlet (theinsurancemaze.com, July 13 update). No comparable dollar estimate for the post-reversal rates has been published, and Aetna itself hasn't confirmed the reversal publicly.

Whatever this nets out to, it's money lost without a single client leaving and without the therapist doing anything differently — the only thing that changed is which box Aetna checks on the claim.

Why "we disagree" isn't the same as "we stopped it"

More than 5,000 Alma clinicians filled out an internal survey about the cut, an unusually large response for any provider-network poll (Behavioral Health Business, May 21, 2026). Alma's CEO, Harry Ritter, closed the survey early on May 25 to formalize the pushback into something he could bring back to Aetna. Alma's public statement: "We disagree with these changes."

Disagreement is not leverage. Alma is the party actually negotiating with Aetna on behalf of its network, and public disagreement is the strongest lever Alma has shown so far. As of this writing, the rate change was still scheduled to take effect July 15.

The American Psychiatric Association didn't wait on that negotiation. On June 4, 2026, the APA and APA Services sent Aetna a joint letter asking the insurer to pause the change and disclose the methodology and access impact behind it (APA Services, June 2026). Aetna's answer, given to Becker's Payer Issues on June 10, 2026, didn't move: "Our rate policies are based on the level of care provided with an emphasis on shared and measured outcomes aided by technology, not how providers connect with members" (Becker's Payer Issues, June 10, 2026).

Sit with that phrasing for a second. Aetna told a professional association, in writing, that how a clinician connects with a client isn't the basis for pay, but "measured outcomes aided by technology" is. Those are the insurer's own words.

That exchange nearly became the last word — until it wasn't. On July 9, 2026, six days before the new rates were due to take effect, Alma emailed its members that after further negotiation, Aetna had agreed to a "partial reversal": the 90837/90834 and 99214/99215 differentials would stay, and reimbursement would continue to reflect degree type and training rather than one flat rate (theinsurancemaze.com, July 13 update). Alma attributed the partial reversal to pushback from its own clinicians and the professional associations that got involved. Aetna's final rates still reflect an overall reduction — Alma didn't say by how much, and Aetna hasn't said anything about it publicly. So: the flattening, as originally announced, didn't fully happen. The cut isn't zero, either. That's not a clean ending, and we're not going to write it up as one.

Timeline of Aetna's rate cut for Alma-contracted therapists, May-July 2026 A five-step vertical timeline, drawn only from this article's own reporting, showing how Aetna's planned rate cut for Alma-contracted therapists moved between May and July 2026. Step 1, May 1, 2026: Spring Health completes its acquisition of Alma. Step 2, May 20, 2026: Alma tells its contracted clinicians that Aetna will flatten reimbursement effective July 15, eliminating three pay differentials. Step 3, May 25 through June 4, 2026: more than 5,000 Alma clinicians respond to an internal survey and the American Psychiatric Association sends Aetna a joint letter asking it to pause the change. Step 4, June 10, 2026, marked with a pink accent bar as the turning point: Aetna tells Becker's Payer Issues its rate policies reward "outcomes aided by technology," not how providers connect with members, and does not change course. Step 5, July 9, 2026, drawn with a dashed border rather than a solid one: Alma emails members that Aetna agreed to a partial reversal, keeping the 90837/90834 and 99214/99215 differentials in place, though Aetna's final rates still reflect an overall reduction. A caption beneath this step notes that the reversal is single-sourced and that Aetna has not publicly confirmed it. Timeline How Aetna's rate cut for Alma clinicians moved, May–July 2026 May 1, 2026 Spring Health completes its acquisition of Alma May 20, 2026 Alma tells clinicians Aetna will flatten pay, effective July 15 May 25 – Jun 4, 2026 5,000+ clinicians survey + APA letter ask Aetna to pause Jun 10, 2026 Aetna holds firm, citing "outcomes aided by technology" Jul 9, 2026 Alma reports a partial reversal: differentials stay; overall reduction remains Single-sourced — Aetna has not publicly confirmed this. Sources: Behavioral Health Business · APA Services · Becker's Payer Issues · theinsurancemaze.com

The platform was never the leverage. You were supposed to be.

A separate Behavioral Health Business analysis, published May 27, 2026, found that small and solo providers keep moving onto platforms like Headway and Alma for the credentialing and billing help, but once inside, the pay difference is often marginal, and the platform, not the individual clinician, holds the actual negotiating leverage with the payer (Behavioral Health Business, May 27, 2026).

That's BHB's finding about the structure. Here's our read on what the Alma sequence adds to it. When a venture-backed platform gets acquired by a bigger venture-backed platform, the combined company now answers to investors who weren't in the room when Alma set its original rates. The fastest lever available to satisfy those investors isn't cutting the platform's own take. It's letting a payer flatten what gets passed through to the 24,000 clinicians who have no seat in that negotiation. The acquisition didn't decide the cut on its own, but it's hard to look at May 1 and May 20 side by side and call that a coincidence of timing.

Ask any therapist who joined one of these platforms in year one, back when the pitch was "we handle the insurance headache so you don't have to." The headache didn't disappear. It moved. Now it shows up as a rate letter you didn't negotiate, for a change you found out about after it was already decided.

What this means if you're on Alma, or thinking about joining a platform

If you're an Alma-contracted therapist billing Aetna, don't model your caseload against the original full-flattening numbers — the 90837/90834 and E&M complexity differentials stay in place, and doctoral-level reimbursement stays distinct from master's-level, per Alma's July 9 email. But Aetna's final rates still reflect an overall reduction, and neither Alma nor Aetna has published what that reduction actually is. Watch for Alma's specific, published rate schedule before you model anything against your actual caseload. Once that number is real and confirmed, it's the real conversation to have with yourself about whether the platform's convenience still clears the bar.

If you're weighing whether to join an enablement platform at all, ask a harder question than "what will they pay me." Ask who owns the platform, who owns the platform's owner, and what happens to your rate the next time either one needs a lever that isn't its own margin. A platform that can't answer isn't offering you stability. It's offering you a seat in a pipeline, and pipelines move whichever direction the pressure comes from.

None of this requires building your practice around a platform's roadmap. Some clinicians are looking at tools built for the person doing the clinical work, not for investors upstream of it, which is part of why VibeCheck.luxury exists: a straightforward alternative for the parts of practice you can actually control, intake, notes, and scheduling, without a platform sitting between you and your rate. Book a call if you want to see what that looks like.

FAQ

When did Spring Health complete its acquisition of Alma?

Spring Health closed the acquisition on May 1, 2026, a deal first announced January 29, 2026 (Spring Health, May 2026). Neither company disclosed a deal price.

What is Aetna actually changing about Alma-contracted therapist pay?

Aetna originally announced that, effective July 15, 2026, it would eliminate the pay differential between 90837 and 90834 sessions, eliminate the high- versus moderate-complexity E&M coding differential, and lower doctoral-level provider reimbursement to the master's-level rate (Behavioral Health Business, May 21, 2026). Per Alma's July 9, 2026 email to its members, Aetna partially reversed those changes: the 90837/90834 and 99214/99215 differentials remain, and reimbursement continues to reflect degree type and training, though Aetna's final rates still reflect an overall reduction (theinsurancemaze.com, July 13 update). Aetna has not publicly confirmed the reversal.

How much income could this cost an individual therapist?

Behavioral Health Business published cost estimates in May 2026 based on the full-flattening scenario Aetna originally announced (Behavioral Health Business, May 21, 2026). Per Alma's July 9 email to members, Aetna did not fully flatten those rates — it partially reversed course after pushback from clinicians and professional associations. Because the original estimates described a scenario that didn't take effect as announced, and no comparable estimate exists for the final, partially-reversed rates, we are not republishing a dollar figure here. What is confirmed is that Aetna's final rates still reflect an overall reduction in reimbursement; Aetna has not published that number, and has not publicly confirmed the reversal itself.

Did Alma or the APA push back on the cut?

Yes. More than 5,000 Alma clinicians responded to an internal survey, which CEO Harry Ritter closed early on May 25 to formalize the pushback, and Alma said publicly, "We disagree with these changes." The American Psychiatric Association and APA Services sent Aetna a joint letter on June 4, 2026 asking it to pause the change (Behavioral Health Business, May 21, 2026; APA Services, June 2026).

Did Aetna respond to the pushback?

Yes. Aetna told Becker's Payer Issues on June 10, 2026 that its rate policies are based on "the level of care provided with an emphasis on shared and measured outcomes aided by technology, not how providers connect with members" (Becker's Payer Issues, June 10, 2026). That response held until July 9, 2026, when Alma emailed its members that Aetna had agreed to a partial reversal of the planned changes, per theinsurancemaze.com's July 13 update. Aetna has not confirmed the reversal directly.

Sources

  1. Spring Health, "Spring Health and Alma Complete Combination," May 2026. springhealth.com
  2. Fierce Healthcare, coverage of the Spring Health-Alma acquisition, 2026. fiercehealthcare.com
  3. Behavioral Health Business, "Aetna Cuts Rates with Alma-Contracted Therapists," May 21, 2026. bhbusiness.com
  4. Behavioral Health Business, "Small Providers Flock to Therapist Enablement Platforms at the Cost of Autonomy," May 27, 2026. bhbusiness.com
  5. APA Services, joint APA/APA Services letter to Aetna requesting a pause on the rate change, June 4, 2026. updates.apaservices.org
  6. Becker's Payer Issues, Aetna statement on the Alma rate changes, June 10, 2026. beckerspayer.com
  7. Barbara Griswold, LMFT, Navigating the Insurance Maze, "Update July 13" on Alma's July 9, 2026 email reporting Aetna's partial reversal of the rate changes. theinsurancemaze.com

Sources current as of July 2026. The July 9 partial-reversal report is single-sourced (Alma's characterization of its own negotiation, via the outlet above) and has not been confirmed by Aetna.

About the author

Matthew Sexton, LCSW, NATC, is a practicing psychotherapist in private practice. He built VibeCheck.luxury, a HIPAA-eligible clinical support tool, for his own caseload — by a clinician who does this paperwork, for the clinician who's tired of it. It is not an AI therapist and not a replacement for the clinician.

Disclaimer

This article is for educational and informational purposes only. It does not constitute medical, clinical, legal, or therapeutic advice, and reading it does not create a therapist-client relationship with Matthew Sexton, LCSW or Mental Wealth Solutions PLLC. Although the author is a licensed clinical social worker, the content in this article is not clinical assessment, diagnosis, or treatment.

Enablement-platform contract terms, payer rate structures, and reimbursement policies vary by platform, payer, state, and over time, and may change after this article is published. Nothing here is a substitute for reviewing your own contract with Alma or any other platform, confirming a specific rate with the payer, or consulting your billing or practice management professional. Plans and circumstances differ, and what is described here may not match your situation.

If you are in immediate emotional crisis, you can reach the 988 Suicide & Crisis Lifeline by calling or texting 988 (US). If you are experiencing domestic violence or are in physical danger, contact the National Domestic Violence Hotline at 1-800-799-7233 or visit thehotline.org. In a life-threatening emergency, call 911.

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