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  • Writer's pictureNicole Cozean

10 Ways Cash-Based Practices INCREASE Access to Care

We hear it from PT schools, insurance-based practices and even worry about this as cash-based business owners - are we 'decreasing access to care' by not contracting with insurance companies?



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The rise of cash practices has dramatically INCREASED access to care over the last 5-10 years. It's driven the rapid growth of our specialty and field.


It's not to say we don't need insurance-based practices. We absolutely do. Increased choice is important to provide the best care to patients.


But we also need cash-based services if we want to increase access to care. We're no longer apologizing for charging for our services!


  1. Reducing long wait times - If you have to wait 3 months to get into a pelvic therapy appointment, many people won't go

  2. Distance - Opening new practices reduces the distance some people have to drive to get help

  3. Longer appointments - For those who have to travel, being able to offer 2-hour (or longer) appointments maximizes the benefit of their trip

  4. Calm, peaceful setting - Cash practices generally are set up for pelvic therapy and can be quieter, calmer places for healing

  5. Transparent, fair pricing - Most people now have high deductibles, and until those deductibles are met are often surprised by (artificially) high bills

  6. Full plans of care - At cash practices no one is discharged early because they have run out of insurance benefits

  7. Home visits & telehealth - Cash practices can be more nimble and offer different types of appointments to increase access to care

  8. Community education & social media - The single biggest growth in our field has been cash-based practices educating the public

  9. Provider education - Changing minds with meetings and training

  10. Reducing burnout - By providing great places to work, we reduce burnout and keep talent therapists in the field longer, helping more people


As Nicole said on the full 'sode of the topic...


"The rise of cash practices has dramatically increased access to care over the last 5-10 years, it's driven the rapid growth of our specialty and field." - Nicole Cozean

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Nicole Cozean, PT, DPT, WCS


Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.


Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.



Jesse Cozean, MBA


Co-founder of the Pelvic PT Rising and the Rising Podcast.


Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.

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