Kelly AlhooiePelviBiz, Pelvibiz · Healthcare Business Strategy Assistant

No one will pay cash? They're wrong #healthcare #business #shorts

24 Jun 2026 · 1 min

Watch on YouTube

1:11

In this YouTube short, Kelly Alhooie challenges the common belief among healthcare providers that patients in heavily insured or Medicare‑dense areas will never pay cash for services. She explains that many small towns, even those with excellent insurance coverage, are willing to pay cash for a one‑stop, cash‑based provider that can meet all their care needs without the hassle of traveling to multiple facilities. Alhooie argues that the perception that “no one will pay cash” is a self‑limiting story that keeps clinicians stuck. To break this mindset, she urges providers to invest in business and marketing skills so they can confidently communicate the value and results of their services, thereby attracting cash‑paying patients. The core message is that cash‑based models can succeed in insurance‑heavy markets if clinicians overcome fear, learn business fundamentals, and clearly articulate why their service is worth the price.

Chapters

live in a very heavy insurance town, whether or not they're Medicare, whether or not they're Washington, D.C., with amazing insurance and everyone's military, no one would ever pay cash. This is the belief that many of you guys think about, and that is actually incorrect. There's very small towns where people have amazing insurance, and those people will pay cash. And a lot of times, smaller towns actually do very well in a cash-based service because they can get all of their needs met with one provider instead of trying to go to multiple providers, driving 2, 3 hours away, because that is where, like, the local hospitals are and providers. And if they could come to you and actually get their full plan of care, they will be gladly to pay the price that you are charging because you would be a one-stop shop because you're a cash-based service. So when we are telling ourselves that, oh, my town's heavy on insurance, no one's going to pay cash, oh, I have all the Medicare patients around me and no one, no one here will pay cash— this is all a lie that we're telling ourselves to keep us stuck so that we don't have to go out and do hard things, AKA learn a new business skill so that you can get more confidence in treating people the way you actually want to treat and to get the results that, that they are looking for, not what insurance is providing. And the only way that you're going to be able to get over that fear of, oh my God, no one's going to pay me, is that if you invest in business skills to learn how to get people to know you and to also say why your service is valuable and the result that you're going to get that client that you are seeking. The only way that you're gonna be able to get over that fear of, oh my God, no one's gonna pay me, is that if you invest in business skills to learn how to get people to know you and to also say why your service is valuable and the result that you're going to get that client that you were seeking.