Oh my. I heard from a colleague today that he sees 50 clients a week to make ends meet.  Why? because his reimbursement rate from managed care has decreased over 25% in the last 20 years.

When outside forces change their procedures or the amount they pay, you have two choices:

1. Accept what they give you.  Agree to make less money per hour and work HARDER.

2.  Choose not to accept a lower rate and more complex procedures. Consider how to creatively develop multiple, diverse streams of income and actually help more people while making more money. Essentially, you will be working SMARTER.

The truth is as a private practitioner you own your business and how you make your living.  Accepting managed care reimbursement is a choice.  You can CHOOSE how you create income.

Please, if you are working 50 client hours a week (that is a 50 hour week not including paperwork!) take a few steps back. How can we be effective working 10 client hours a day?  With that schedule,how do you recharge, pursue a relaxing hobby, enjoy your family?  Personally, I'd be burned out within one month's time working 50 client hours a week.  And we know a burned out clinician is not an effective clinician.

Consider working smarter and develop a passive or leveraged income stream. Making money while you are out of the office is one of the best ways to increase your income while decreasing  your clinical hours.

If you see 50 clients a week, you probably don't need help with client attraction, but you may need ideas and support for creating multiple streams of income. We will focus on this effective way to help more people, make more money and have more free time in my Private Practice Start-Up Blueprint.  This is a great program if you are in practice, but feel the need to build a new business model that allows you to work fewer hours and enjoy your life.  Click here for details.