At your caseload, the best net outcome is
Direct credentialing
Start with a platform, or enter your own numbers
Headway ~$100
SonderMind ~$88
Rula ~$80
Grow ~$95
Alma $125/mo
Compare all three
BEST NET
Direct contracts
You hold the panel. You bill. You keep the whole contracted rate.
$0
net per year
Gross collections$0
Billing cost$0
First-year setup$0
Year one net$0
Net per session$0
BEST NET
Rate-set platform
(Headway, SonderMind, Rula, Grow) No monthly fee. A set amount lands per session and you never see the spread.
$0
net per year
Paid to you$0
Billing cost$0
Net per session$0
BEST NET
Membership platform
(Alma) Flat monthly fee. The full reimbursement passes through to you.
$0
net per year
Gross collections$0
Membership$0
Net per session$0
Side by side, net annual income
What the math does not capture. Platform panel spots belong to the platform, not to you. If you leave, you re-credential on your own, which commonly takes 60 to 120 days and creates a revenue gap. Platforms also negotiate at scale, so in some states with some payers their rate beats what a solo clinician can get directly. And direct credentialing costs real time before it pays anything. Run your own numbers before you decide.
The lesson. Rate-set platforms pay a fixed amount per session, so growing your caseload never improves your rate. A flat membership fee spreads thinner the busier you get, which makes it efficient at volume. Direct contracts are the only option where you own the panel and can negotiate the rate itself upward over time, which is the advantage that compounds. Speed matters most when you are starting. Ownership matters most when you are established.