Steps On How To Transition To A Cash-Based Practice

Matthew Gallogly walks through how physicians can shift to cash-based or hybrid practices. He recommends blocking one full day weekly for cash patients only, never letting insurance appointments creep in, and taking a separate work-free day to prevent burnout. He stresses that clear boundaries protect both your income and your life.
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Now, when somebody starts to come to work with us and we start transitioning them from insurance and just doing cash one day a week, what we do is we tell them, take— do exactly that. One day a week, all you do is work on the cash side of your practice. Okay? So let's say you're gonna say, all right, I'm gonna do nothing but cash patients and procedures. I'm gonna do those, say, on Thursdays. Then don't let any insurance patients fill that gap. Even if you're slower that day, don't build— don't put any insurance patients in. Do not let your staff say, well, Mrs. Smith could only come in and see you on Thursday, so we just snuck her in. Don't let them do it. You have to create boundaries, okay? Because for you to create this cash practice or a hybrid practice, you have to create space, not just in your calendar but in your head up here, so that you have the space to be able to do the things and focus on the things that are going to actually pay you back In the long term. Okay. Hey, I'm Matthew Gallogly and I'm a Maverick. Well, what is a Maverick? A Maverick goes against the grain. We find our own way. And if you're sick and tired of being pushed around by the insurance companies, come join us. We'll show you the way out and you'll love medicine again. Now we're gonna create a personal boundary. This is gonna sound really crazy to you, but what I want you to do is I want you to take one day a week. Make it a Sunday if you want, make it a Saturday. I don't care what it is. Create one day a week that is just for you. No work, no reading stuff, no doing charts, none of it. One day a week where it's just for you. Okay? This is going to create more space. And here's why we're doing all this so that you have a— you can create more of a work-life balance is that you actually need time To detox from the stress of an insurance practice. You are going so hard for so many hours, and you're doing it day after day, week after week, month after month, year after year. Many of you really haven't been able to take a sufficient breather for 20 years, and you're getting to that point where you're reaching the exhaustion level. And when you can take one day a week that is just for you, the burnout levels will decrease, the stress will decrease. And you'll start to get a lot more headspace in your life where you can actually start to think about things other than all the other stuff that goes with running an insurance practice right now. You're saying, okay, Matt, but I'm married, I've got kids. Fine, take the phone and set it in the glove compartment unless you're on call, obviously. But take the phone. I actually have clients that have a separate phone that is just for personal and one that's for business. You can create— there's tools that you can put on your phone to have it kind of split in half, if you will. There's all kinds of things that you can do, but the bottom line is, is you have to create the boundaries and you have to create the space, or you're never, ever, ever going to be able to get free. You want some more great insights of how to get more great work-life balance? I'll tell you what, that was just one insight. I've got lots of them in my book, The Anatomy of a 7-Figure Medical Practice, and it's yours for free. Just follow the link that you're seeing pointed or somewhere on this video. It'll take you right to the page. You can get the book for absolutely free. And this book right here has all kinds of great information that's gonna give you more work-life balance so that you can tell the insurance companies to take a hike and leave you alone. So get the book, follow the link that's on here, and we'll talk to you soon.
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