This is not theory. It is a tested process.
The Out-of-Network Transition Course was built from real work in my practice and has been repeated with a dozen PT practice owners making real insurance contract decisions. It gives you a clear framework, practical tools, and proven examples to help you assess low-paying contracts, choose the right one to leave first, and manage the transition with more clarity and less risk.
Found that one contract paid $78.26 per visit while his cost to deliver care was $87.73. He dropped the contract, negotiated a 10% raise from another payer, and set a new target of $125 or more per visit.
Raised revenue per visit by more than $15 after setting out-of-network rates and exiting poor-paying contracts one at a time.
Improved profit margin from 7% to 14% while reducing the hours he worked.
You do not need more opinions. You need a step by step process, the right tools, and a better way to make this decision.
See what one low-paying contract may be costing you
Use your real numbers to estimate the annual impact of leaving one low-paying insurance contract and setting your own out-of-network rate. This calculator shows the difference between what that contract produces now and what the same visits could produce at your own rate.
Revenue Impact Calculator
Plug in your numbers. See what's on the table.
Don't have your exact cost per visit yet? Estimate it. We'll get precise in Lesson 5.
Everything You Need
Structured progression from mindset to execution
Video + written content with real-world examples
Downloadable tools you'll actually use
Check your understanding along the way
Professional completion certificate for your team
Full course access for one year from purchase
Your Roadmap
Setting Expectations
- ›Welcome — Where We're Going and What You'll Get
Mindset
- ›Lesson 1 — Getting Your Mindset Dialed In
- ›Lesson 2 — Getting Your Team's Mindset Right
Being Awesome: What if Everybody Leaves?
- ›Lesson 3 — How to Stand APART from the Crowd: Your Customer Experience
- ›Lesson 4 — Documenting Your MOTs
The Numbers
- ›Lesson 5 — Your Current Numbers
- ›Lesson 6 — Contract Assessment
- –Internal communication plan — Why, When, What messaging to your team
Leaving the Bad Contracts & The Feedback Loop
- ›Lesson 7 — Communicating the Change & Contract Cancellation
- –External communications — patients, physicians, and referral sources
- –Multi-channel messaging strategy across four channels
- ›Lesson 8 — Assess Your Results, Lessons Learned, and Repeat
PT Practice Owners
(and Their Key Staff)
If you’re tired of losing money on insurance contracts that undervalue what you do, this course gives you the exact playbook to exit those low paying contracts with confidence, a plan, and your team on board.
What Happens When You Follow This Process
These practice owners used the same steps taught in this course to take control of their pricing, drop contracts that were costing them money, and build more profitable practices.
Garrett Akahoshi
Peak Physical Therapy, Cupertino, CA
Garrett ran the numbers and realized Aetna was paying him $78.26 per visit while his cost to treat each patient was $87.73. He was losing money on every Aetna patient who walked through the door. He built a plan, dropped the contract, and negotiated a 10% raise from Blue Shield on the visits he kept. Today his strategic target is north of $125 per visit, and he describes the result in three words: more profit, more time with family, less stress.
Raul Lona
M3 Physical Therapy, Los Angeles, CA
Raul came in with three priorities: exit the contracts that were bleeding him dry, charge what his team was actually worth, and stop grinding through a patient volume that wasn’t sustainable. He surveyed competitor pricing, set his OON rates, and started dropping the worst payers one by one. His revenue per visit increased by over $15. He’s now building toward 25% clinic profitability with a team that finally understands why the old model wasn’t working.
Marc Stewart
Johns Creek Physical Therapy, Johns Creek, GA
Marc was running a 7% profit margin and couldn’t step away from the clinic without things falling apart. After dropping his low-paying contracts and restructuring how the practice operated, his profit margin doubled to 14%, and he was working fewer hours to get there. The real proof: he took a three-week vacation out of the country, and that month turned out to be the busiest of the year.
Ready to Exit the Bad Contracts?
Get the complete playbook: all modules, lessons, worksheets, templates, quizzes, and a professional completion certificate. 12 months of full access.