The Bad Therapist Show · Apr 27, 2026 · 19:35
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Building a cash pay practice while you're still fully dependent on insurance can feel like trying to jump off a moving train. In today's episode, I'm walking you through how to make that jump without blowing up your income in the process.
I break it down into three stages - prep, process, and pipeline - and walk you through a simple framework for modeling exactly how much money you stand to lose before dropping a single insurance panel. The numbers might surprise you!
I also get into why so many therapists take insurance in the first place - and it has far less to do with values than we like to tell ourselves. Plus, I reveal the marketing truth insurance has been quietly covering up and what happens when that safety net disappears.
If you've been waiting for a sign to finally start moving toward a cash pay practice, consider this your no-guilt permission slip to make the move.
Topics covered on this episode:
Resources from this episode:
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Quote:
“The cleanest transition is not to just drop insurance and pray. It's to prepare financially, exit strategically, and build demand intentionally.” - Felicia
Episodes: The Bad Therapist Show