Cash Based Practices | What to Say When a Patient Loves the Eval and Leaves for a Cheaper Option

25 Aug 2026 · 5 min
4:58

In this instructional video Kelly Alhooie coaches cash‑based PT/OT clinic owners on how to respond when a patient, after a positive initial evaluation, decides to switch to a cheaper provider. Kelly explains that the patient’s decision signals a perceived lack of value and that clinicians must better communicate the plan and excitement for future sessions. She outlines a step‑by‑step script: first, ask the patient to elaborate on what was “great” about the eval to uncover unmet expectations; second, address price concerns by offering in‑network, spaced‑out appointments (every 2‑3 weeks or monthly) and a promise to check in on progress; third, differentiate the clinic by highlighting its mobility‑first LSR (Lengthening‑Strengthening‑Running) method, which focuses on hip mobility before strengthening, a specialty many competitors lack; fourth, ask the patient to keep the appointment on the books or agree to a follow‑up schedule, and finally, place the patient on a calendar reminder for regular check‑ins, treating them as a hot lead who may return if other providers don’t deliver results. The video emphasizes using specific language, reinforcing unique value, and systematic lead nurturing to retain patients.

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