See your HB1085 revenue uplift in 10 seconds
On January 1, 2027, Illinois resets the commercial behavioral health rate floor to 141.7% of Medicare. Enter your numbers to see your annual gain from Stream 1 — then see what four more streams add on top.
Stream 1 of 5 — Commercial rate uplift on existing sessions
Formula: New floor = Medicare rate × 141.7% (HB1085). Uplift / session = max(0, floor − current rate). Annual uplift = qualifying sessions × uplift / session. Qualifying sessions = clinicians × sessions/wk × weeks × HB1085 coverage % (ERISA / self-insured excluded).
Assumptions (edit to match your group)
4 More Revenue Streams Activate on the Same Date
This is what your group gains from one of the five mechanisms HB1085 unlocks. The other four – compound on top of Stream 1. Most require credentialing and contract work that must begin before the Q3 window closes.
Stream 2
Stream 3
Stream 4
Stream 5
Estimate only — not a guarantee of revenue. Stream 1 projects the gain from the commercial rate floor reset to 141.7% of Medicare under HB1085, effective January 1, 2027, applied to fully-insured commercial plans only (ERISA / self-insured excluded). Uplift per session = max(0, floor − current contracted rate). Figures reflect one revenue stream. Actual results depend on payer mix, service codes, contracted rates, and credentialing status. Verify with your contracts and counsel before acting.
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