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Location: Indianapolis, IN
Date of graduation: March 1, 2002
Years in practice: 10
Years of non-insurance dependency: 3-4
Listen to Interview
City/State/Province of Practice:
Indianapolis, IN
Date of graduation from chiropractic school:
March 1, 2002
Years in practice?
What percentage of your collections are cash?
How many years have you been a non-insurance dependent practice?
If you converted from insurance dependence to non-insurance dependence (NID), what percentage was insurance before?
Why type of practice do you have, i.e. family, wellness, sports, etc.?
Family Wellness Practice
Why do you not take insurance?
If I am going to have an impact on the actual health of my community as well as the public’s perception of my profession I must operate in a manner that will achieve both. Reliance upon the insurance company to take care of someone else’s lifestyle created problem doesn’t do either. Reimbursement rates from insurance companies can be insulting and allowing a person’s benefits sheet to dictate their care is completely incongruent and immoral of the true health care provider.
Please share with us your number 1 best practice for being NID?
Creating annual care plans with measurable objectives and NOT renewing insurance care every year just because it’s a new calendar year.
What advice do you have for chiropractors out there that are insurance dependent?
Review your premise about what your practice represents in your ideal life and then compare that to what your statistics about what kind of practice you actually have. If incongruent then find someone who is doing it properly and follow their lead to move yourself somewhere better.
Briefly, how did you switch over?
Determined my why and evaluated whether the current practice was delivering that service to my community. Found staff that was on board. Next we began coaching with Alan Rousso with the goal of increasing PVA and decreasing insurance dependency. Cash Practice provided the annual care plan solution as well as an auto-debit service that helped increase retention. I then continued to look for other docs and offices that were doing it well and emulated them.
What were the largest hurdles?
The practice members that were used to us operating in the grey area of “12 move visits every year because that’s what my insurance says I get” had to recognize the incongruence and illegality of that practice.

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