Competition in the Cash-Based PT world is rising—fast.

If it feels like new Private-Pay practices are popping up every month in your area, you’re not imagining it. Clinicians are leaving insurance jobs, jumping Out-of-Network, and launching Cash-Based practices at the fastest rate we’ve ever seen.

So here’s an inconvenient truth:
Longer, One-on-one sessions are no longer a differentiator.

Every cash practice offers that now.

So in this episode, I walk a Mastermind member through how to stay confident, stay full, and stay ahead—without burning out or obsessing over competitors and the things they can’t control or influence.

What You’ll Learn Today:

  • The 3 things every practice MUST excel at to outcompete in 2026
  • Why obsessing over new competitors only slows your growth
  • The mindset shift that top owners use to stay motivated
  • The #1 differentiator in a market full of long one-on-one sessions
  • How to create a culture that patients never want to leave

1. One-on-One Sessions Are Not Enough Anymore

For years, being a cash practice was differentiator enough. Spending an hour with patients was differentiator enough.

Not anymore.

New competitors are doing hour-long sessions. Many are taking courses—mine included. Some are exceptional clinicians.

So what makes you stand out now?

Your patient experience.

In my Freedom 2.0 course, the very first module is the “VOP Care Experience” because that’s the foundation of differentiation:

  • Value-centric
  • Outcome-focused
  • Highly personalized
  • Filled with meaningful “small touches” patients remember

Patients don’t leave providers who make them feel seen, heard, cared for, and deeply supported.

This is a vital way to outcompete your Cash-Practice competitors.

2. Focus on What You Can Control (Ignore the Rest)

You can’t stop new clinics from opening.

You can’t prevent competitors from investing in training.

You can’t dictate what clinicians decide to do with their careers.

But here’s what you can control:

Your internal execution.

  • Consistent marketing
  • A highly trained admin who converts phone calls
  • Clinicians skilled in plan-of-care conversion and retention
  • Follow-up systems that prevent patient drop-off
  • A continuity/membership program
  • A world-class patient experience that wows and retains customers

If you execute these well, there will ALWAYS be enough patients for you—even in competitive markets.

3. Shift Your Mindset: Competition = Motivation

When competition increases, most owners fall into one of two camps:

Camp 1: Fear, frustration, and stress

“New practices keep opening. They’re all doing one-on-one care… How will we compete?”

or…

Camp 2: Fuel and motivation

“Let them come. They’ll have to work their asses off to beat us.”

Both reactions are normal—but only one helps your business.

Competition forces you to:

  • Uplevel your systems
  • Sharpen your messaging
  • Improve your experience
  • Refine your marketing
  • Lead your team at a higher level

Those things create growth, purpose, and resilience.
And the practices who embrace progress and meaningful personal growth always win.

4. Practical Ways to Outcompete Right Now

Here’s the good news:

You don’t need to be perfect.
You just need to be better than most.

Here’s how:

✓ Deliver a better patient experience than anyone else
If your care, communication, follow-through, and environment are exceptional, patients will never leave for competitors.

✓ Train your phone-answering team relentlessly
New competition means more comparison shoppers.
The practices with the BEST phone conversion win.

✓ Market consistently—even when you’re full
Slowdowns happen when you stop marketing too early.

✓ Keep patients longer with a continuity or membership offer
This boosts retention, revenue, and lifetime value—while competitors struggle to refill their schedules.

✓ Make your culture magnetic
When patients don’t want to leave, you’ve already outcompeted 90% of clinics.

Your Free Resource: 22 Best Sources of Cash-Pay Patients For Physical Therapy Practices

In competitive markets, you need multiple reliable lead sources.

So I created a resource to help: 22 Best Sources of Cash-Pay Patients For Physical Therapy Practices

This guide gives you the top-performing patient sources I’ve seen across 1,000+ private-pay practices—ranked and explained.

Perfect if you’re:

  • In a crowded city
  • Seeing new competitors pop up
  • Wanting more predictable lead flow
  • Needing higher-quality inquiries
  • Unsure of where to focus your marketing efforts

Invest in your team, invest in your practice! Download your free guide now!

Ep 49 - 3 mistakes when starting a cash practice - Download Button

 

Thanks so much for checking out this week’s Podcast… hope you enjoy the free resource!

The Final Word

Competition isn’t something to fear.

It’s something to out-execute.

If you focus on the things you can control—your experience, your marketing, your team, your systems—you will always rise above.

Stay excellent.
Stay consistent.
Stay committed to your mission.

You’ve got this.

Jarod

WANT STEP-BY-STEP GUIDANCE TO START, GROW, OR TRANSITION YOUR OWN CASH-BASED PRACTICE?

> Click Here to learn how to start, grow, or transition your own Cash-Based Practice <<

HERE ARE SOME MORE EPISODES ON PRACTICE GROWTH & RECURRING REVENUE:

CBP 275: The Most Overlooked Lead Generation Strategy in Your Cash-Based Practice
Discover a simple, underutilized way to consistently fill your schedule with qualified patients—without relying on ads or discounts.

 

CBP 260: The Patient Sales Strategy I Used To Ask My Wife On Our First Date
Master the conversational framework for turning curious leads into committed patients—without feeling “salesy.”

 

CBP 225: Cash-Based Memberships—Transform Your Practice with Recurring Revenue
Learn how to build predictable income that doesn’t depend on new patient flow. Get strategies to design, market, and scale memberships that add value for patients and stability for your business.

 

MORE RESOURCES TO HELP YOU BUILD RECURRING REVENUE AND LIFELONG PATIENTS:

Cash-Based Practice Freedom e-Course 2.0
This course gives you every step, script, process, and resource I’ve used (and coached 1000+ practice owners through) to build highly profitable, insurance-free practices. It’s all laid out for you in a perfect step-by-step blueprint …Check out the Course here.

Cash-Based Practice Mastermind
If you want to double your profit per patient and build the practice of your dreams—without relying on greedy insurance companies—this Mastermind coaching program gets you there with: weekly live coaching, a supportive community, and a vault of done-for-you resources and masterclasses to accelerate your growth and avoid costly mistakes. Check out the Mastermind here.

Cash-Based Practice Marketing Intensive
Learn how to keep your phone ringing and your inbox flooded with qualified out-of-network leads using my R.O.I. Marketing Method and the power of AI. This training walks you step-by-step through proven marketing systems that bring patients straight from social media to your schedule. Check out the Masterclass here.

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