As insurance companies steadily cut Out-of-Network benefits and reimbursement, many Cash-Based practices are really feeling the impact.

Patients who once received 40–50% back from self-claims suddenly get zero, and some respond with:
“I just can’t afford this anymore. I need to use my insurance.”

It’s frustrating.
It feels out of your control.
And yes—this trend is growing nationwide.

But here’s the part most practices NEVER realize:

You can win back a lot of these patients—if your follow-up strategy is airtight.

That’s what this episode breaks down.

For the full walkthrough, listen to the episode here.

Before you do though, a quick announcement: I’m hiring at my clinic and could really use your help … If you know of any skilled manual therapists in Austin (or who might want to move to Austin), who would love to be paid really well to treat every patient 1-on-1 for a full hour, PLEASE forward this opportunity to them. You can click HERE to see the job post and apply.

What You’re Learn Today:

• Why insurance reimbursement is dropping for Out-of-Network claims
• How to re-engage patients who left due to insurance changes
• The exact follow-up script I use
• The #1 mistake clinics make that destroys retention
• How to automate patient tracking so no one slips through the cracks

1. Insurance Reimbursement Is Getting Worse — But Patients Still Come Back

Across the country, insurance companies are slashing Out-of-Network reimbursement or eliminating it entirely.

Patients who once received money back now get nothing, and some think switching to an In-Network clinic is the only option.

But here’s what really happens:

When a patient leaves for an in-network clinic…
And you follow up strategically…

They often say:
“It’s awful there. When can you get me back in?”

Patients want results.
And when your practice delivers superior outcomes, they will find a way to return—even with $0 reimbursement.

2. The Fortune Is in the (Proper) Follow-Up

Most practices follow up once.
Maybe twice.

And when the patient doesn’t reply?

They vanish from the radar.

But here’s the truth:

A patient is never “lost” unless you stop following up (or they tell you to stop).

Follow up with:

• Discharged patients
• Patients who left for insurance
• Leads who said they needed to “check with my spouse”
• Anyone who didn’t convert

And always include one essential question:
“Are you getting the results you truly want?”

This opens the door…

Most patients aren’t getting results elsewhere.
And your message lands at the right moment and makes them realize it.

That’s how you reactivate them.

3. The Most Expensive Follow-Up Mistake Clinics Make

In this week’s podcast episode, I explain a critical error I see in 90% of practices:

They follow up ONCE… but never set the next reminder.

So if the patient doesn’t answer or respond (very common), the trail goes cold.

That simple oversight costs:

• Patients
• Revenue
• Referrals
• Lifetime value
• Predictability in your schedule

Fixing this one issue can add tens of thousands in revenue per year to a small practice.

4. The Follow-Up Tool That Protects Your Revenue (and Sanity)

To make follow-up effortless, I built a tracking system inside a simple Google sheet that can completely transform your follow-up process—and the impact you have with your practice. The Lead and Patient Tracking Spreadsheet is the same tool I use in my own clinic. It makes it easy to track follow-ups, set timely reminders, and stay top-of-mind with the people most likely to say yes down the road—so no one, and no revenue, slip through the cracks.

✔ Tracks leads, patients, discharges, referral sources, and more
✔ Automates email reminders to you or staff
✔ Ensures you never forget a follow-up
✔ Works even if you don’t have a CRM
✔ Saves practices tens of thousands every year

(and it’s free to you!)

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

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

The Final Word

Insurance is becoming less reliable — for patients and for practice owners.

But the practices who win aren’t the ones with the best reimbursement…

They’re the ones with:
✔ A reliable follow-up system
✔ A team trained to check in consistently
✔ A culture of staying connected long after discharge
✔ The awareness that patients return when they remember the value you provide

Do these things well, and you won’t just stop losing patients…

You’ll become the clinic people return to when their “covered” care fails them.

Stay relational.
Stay proactive.
Stay present in their lives — and they will stay in yours.

— Jarod

Again, I’m hiring at my clinic and could really use your help … If you know of any skilled manual therapists in Austin (or who might want to move to Austin), who would love to be paid really well to treat every patient 1-on-1 for a full hour, PLEASE forward this opportunity to them. You can click HERE to see the job post and apply.

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 PATIENT RETENTION & FOLLOW-UP SYSTEMS:

CBP 206: 4 Keys to Minimize Patient Drop Off and Get Full POC Commitment
I break down simple approaches that get patients fully committed to their plan of care so they don’t disappear at 75–80% better.

How to Follow Up With Dropped-Off Patients Without Being Pushy
My reactivation system (texts, calls, emails, even direct mail) that fills schedules and brings past patients back—without feeling salesy..”

BP 212: Unlocking the Secrets to Stellar Front Desk Staff Performance
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 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.

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.