Fix Your Payer Mix & $60K/Month Without More Patients - The Road to Build a $100M Practice - Ep: 04

Feeling stuck with low margins—even when your clinic is full? You’re not alone. In this video, Chad Madden walks through why most private practice owners feel powerless to improve their payer mix and how small strategic changes can add $60K+ in monthly profit without adding more patients or staff.

You’ll learn the Quantity → Quality → Viability framework, real examples from clinics across the country, and five specific ways to start attracting better payers today.

00:00 – The most common profitability problem for busy practices

01:15 – Why improving your payer mix matters more than you think

03:00 – The power of adding just $5 per visit

05:00 – Breaking the myth: Higher revenue ≠ higher costs

06:45 – National trends: declining reimbursements, rising costs

08:00 – The framework: Quantity → Quality → Viability

10:00 – How to identify your best payers

11:30 – 5 Patient Pathways to influence your payer mix

  • 11:45 – Reactivations (target your best payers)

  • 13:10 – Word of mouth & physician referrals

  • 13:50 – Employer partnerships

  • 15:00 – Cold traffic marketing & diagnosis targeting

17:20 – Case study: Pelvic floor program ad strategy

20:00 – What top practices are doing nationwide

  • Hybrid models

  • Renegotiating rates

  • Dropping low payers

  • Attracting better ones

22:45 – The real obstacle: “I can’t do anything” is a myth

24:00 – Final thoughts and where to go from here