Is insurance really helping your practice grow—or holding it back? In this solo episode, Dr. Lauryn gets real about the hidden costs of staying in-network and why so many practice owners eventually face the hard choice of whether to go out of network. She shares personal lessons from running a clinic for 15 years, including a decade fully out of network, and reveals the freedoms and challenges that come with that shift.

From the fear of audits to the problem of razor-thin margins, Lauryn dives into why leaving insurance isn’t always about profitability at first—but why it often becomes essential for long-term sustainability. Whether you’re considering dropping one payer or going fully cash-based, this episode will give you clarity, encouragement, and the real numbers to weigh before making the leap.

Key Takeaways

• Going out of network can protect clinics from the constant threat of audits and unexpected clawbacks while giving owners more freedom to run care their way.
• Profitability depends on clear margins, not just patient volume—many providers unknowingly operate at a loss with certain insurance contracts.
• Transitioning out of insurance doesn’t have to be all or nothing; dropping one or two problematic payers can be a smart first step.
• Cash-based practices attract more engaged patients, but require strong scripts and systems to handle objections and sustain growth.

Resources:

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