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cover art for EP744 "How do I turn a $100-per-session insurance patient into a $2,000–$3,000 lifetime customer?"

The Paul Gough Show

EP744 "How do I turn a $100-per-session insurance patient into a $2,000–$3,000 lifetime customer?"

Ep. 744

In this episode, I sit down with an insurance-based clinic owner who's running at 90% insurance and 10% cash pay. He wants to shift gears but he's scared. He doesn't know how to make the transition without blowing up what he's already built.


Here's what gets asked and answered:


  1. How do we shift from 90% insurance to more cash pay without risking the business we've already built?
  2. Do I need to close the doors on insurance and start fresh — or is there a smarter way?
  3. How do I turn a $100-per-session insurance patient into a $2,000–$3,000 lifetime customer?
  4. What's the difference between taking risks and managing risks — and why does that matter for this transition?5. How do I get patients to buy more when they don't even know what else I offer?
  5. How long does this realistically take — and why do most clinic owners get the timeline wrong?
  6. How do I run multiple things at once without losing my mind?


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