Thinking about taking insurance in your private practice or trying to figure out a better way to handle out-of-network clients?

This is one of those decisions that almost every therapist wrestles with at some point. On one hand, insurance can help fill your caseload and make therapy more accessible. On the other hand, the admin work, lower reimbursement rates, and constant back and forth can leave you feeling stretched thin and frustrated.

In this episode, I'm joined by Mark Florian, founder of Deputy Care, and we get into what is really happening behind the scenes with insurance, superbills, and out of network billing. We talk about why so many therapists start on insurance panels and then eventually want to move away from them, and what makes that transition so difficult.

We also unpack the hidden friction in the system, from denied claims to clients struggling to get reimbursed, and how all of that can impact both your income and your clients' ability to stay in therapy.

If you've ever felt stuck between wanting to help more people and wanting to build a sustainable private practice, this conversation will give you a lot to think about.

Resources Mentioned In This Episode

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Meet Mark Florian

Mark Florian is the Founder of Deputy Care, a platform dedicated to helping private-pay clinicians increase patient retention by eliminating the "administrative dread" of insurance.

With over 15 years of experience building the technological "plumbing" of healthcare, Mark has served as the CTO of Advekit and was an early engineering leader at Zocdoc.

Today, he is on a mission to "kill the superbill," replacing outdated PDF receipts with automated "payment floating" technology that allows patients to access their out-of-network benefits instantly.

Mark's unique perspective sits at the intersection of high-scale health tech and the deeply personal relationship between therapist and client.

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