02/06/2026
When I switched to cash-based practice nearly 3 years ago, my aim was to put the needs and health of my patients first. The only way I could do that was to operate outside of the up-front costs and limitations on my care from insurance companies. I needed to be able to assess the whole patient, their current status, their personal goals and what quality of life meant to them, and then treat them appropriately with the services I knew they needed. 6 visits for an ACL Reconstruction surgery wasn't going to be enough. 4 visits for a postpartum with low back pain with a ridiculous amount of documentation and appeal sessions if I wanted to treat them further than that was taking a toll on me nearly as much as it was on my patients.
I can attest to going home from work with chest pain every night as an otherwise very healthy 38 year old woman from the stress and demand of trying to care for patients within a system that didn’t allow me to. From the demands of insurance companies to bill for only half of the treatment I did, from the physical therapy practices I worked for to bill in a certain way that would allow them to stay in business as reimbursement rates from insurance companies decreased periodically. Every medical professional working in insurance- based care feels it today, even more so.
The truth is finally being brought to the table...
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A service you already pay for to assist you with medical expenses shouldn't be the most limiting factor in your treatment or the outcome of your care.