There’s been a recent flare-up in the pelvic rehab world around cash-based versus insurance-based care. And while emotions are running high, we wanted to pause the noise and add something that feels increasingly rare: context.

In this episode, we start with what we all agree on:

• Every pelvic PT and OT is doing their best for their patients
• We all want clinicians to be paid fairly and sustainably
• More practice models = more options for both clinicians and patients
• Patients benefit from having real choices
• We should be referring to one another, not competing against the field itself
• The current medical system requires both insurance and cash-based care — in every country we’ve seen

From there, we address the two biggest areas of disagreement head-on.

First, the claim that cash-based practices reduce access to care. We walk through the data around deductibles, waitlists, and real-world barriers to care — and why more options actually increase access, not reduce it.

Second, the idea that one model inherently produces better care. We’re very clear here: you can get excellent or poor care in any setting. But when you take the same caliber clinician, the environment matters — and we explain why time, autonomy, documentation burden, and feedback loops change outcomes.

This episode isn’t about picking sides.
 It’s about understanding incentives.
 And it’s about recognizing that the growth of pelvic rehab depends on all of us moving forward together.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

In this episode, we break patient outcomes down into a simple but powerful formula:

Patient Outcomes = Skill × Time

You need:

• The skill to understand what’s actually driving someone’s symptoms
• And the time for healing, behavior change, tissue adaptation, relationship-building, and clinical reasoning to unfold

Miss either one — and outcomes suffer.

We talk about:

• Why outcomes can’t be separated from both clinician skill and available time
• How testing your hypotheses requires both technical ability and space to observe change
• Why healing, strength, and behavior change don’t happen on insurance-driven timelines
• How different practice models dramatically affect the “time” variable

This conversation was sparked by recent rhetoric criticizing cash-based care — and instead of taking the bait, we zoomed out and asked a better question:

What actually creates great outcomes?

This episode sets the foundation for future discussions about systems, incentives, and why clinicians often feel frustrated despite doing their best work.

🎧 If you care about results — for patients and clinicians — this one matters.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

In this episode, we break down how money actually moves in the insurance-based PT and OT world, why so many clinicians and clinic owners feel financially stuck, and how the landscape has quietly but dramatically changed over the last 20 years.

We cover:

• How insurance companies make money — and why they’re incentivized to pay out as little as possible
• The reality of declining reimbursement and rising administrative costs
• Why clinic owners feel squeezed from both sides
• Why clinicians deserve raises — and why insurance doesn’t support that reality
• How this system unintentionally pushes clinics toward lower-quality care models

Most importantly, we talk about why the rise of cash-based care isn’t a trend — it’s a correction.

Cash-based models:

• Allow small, independent clinics to survive and thrive again
• Create real earning upside for skilled clinicians
• Restore transparency and accountability in care
• Exist in every healthcare system — including countries with universal healthcare

This episode isn’t about villainizing anyone. It’s about understanding the system we’re operating in — so we can make better, more informed decisions about our careers, our clinics, and our patients.

🎧 Whether you’re an employee, a practice owner, or somewhere in between, this is required context for the modern pelvic health landscape.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Long waitlists are incredibly common in pelvic rehab — and they’re only becoming more common as awareness of pelvic health grows.

But a long waitlist isn’t automatically a good thing… or a bad thing. It’s a decision point.

In this episode, we break down what it actually means to have a long waitlist and how to think about it strategically and tactically, whether you own a practice or work for someone else.

We discuss:

• Why waitlists longer than ~3 weeks lead to significant patient drop-off
• The three strategic paths when demand exceeds capacity:
  • Providing gold-standard care to fewer people
  • Seeing more people with lower intensity care
  • Expanding capacity through hiring or program growth
• Why a waitlist alone is not a reason to hire
• How solopreneurs and small practices should think about waitlists differently
• Tactical best practices to:
  • Improve fill rates
  • Reduce cancellations
  • Use your waitlist efficiently without burning out your team

If you’ve ever felt stressed, guilty, or stuck because your waitlist keeps growing — this episode will help you make intentional decisions instead of reactive ones.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Most goal-setting focuses on one or two areas of life — usually work and maybe health — and then we wonder why things feel off balance by February.

In this first episode of 2026, we’re sharing the framework we teach every year in our business programs, but one that applies just as much if you work for someone else:

Diversify your goal-setting portfolio.

Before you set career or business goals, we walk through other areas that matter just as much — and often get overlooked:

• Relationships
• Fun and enjoyment
• Personal finances
• Health and wellness
• Career or business

We share real examples from our own lives — what we’re prioritizing, what we’re not prioritizing, and why sustainable goals matter more than aggressive ones that collapse by mid-January.

This episode is about creating goals that actually support the life you want — not just another list of things to chase.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

As the year wraps up, it’s tempting to jump straight into planning what’s next — without ever stopping to reflect on what just happened.

In this episode, we talk about why crafting a clear narrative for your year is one of the most powerful (and overlooked) tools for preventing burnout, building perspective, and entering the next season grounded instead of reactive.

We explore:

• Why high performers default to focusing on what didn’t go well
• How negativity bias distorts your view of the year
• The clinical parallel between helping patients make sense of their story — and doing the same for yourself
• Why even experienced CEOs struggle to give themselves credit
• Our one-sentence narrative for 2025, shaped by becoming a family of four while expanding our impact in pelvic health
• How reflection creates psychological closure and protects against burnout

We’ll walk you through a simple exercise to help you name your own one-sentence narrative for the year — before you start planning the next one.

If you’re feeling tired, behind, or like the year slipped by too fast, this episode is your invitation to pause, zoom out, and recognize what you’ve actually built.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Binary questions are easy — and often misleading.

In this episode, we break down one of the most powerful (and underused) communication tools in pelvic health, leadership, and life: the 0–10 scale.

Instead of asking questions that are heavily influenced by power dynamics, assumptions, or people-pleasing (“Are you okay with this?”), the 0–10 scale opens the door to nuance, curiosity, and honesty.

We discuss:

• Why yes/no questions shut conversations down
• How a 0–10 scale creates psychological safety and intellectual humility
• How defining the ends of the scale matters just as much as the number
• Why the scale naturally leads to better follow-up questions
• How this tool keeps conversations collaborative instead of adversarial

We shares real-world examples of using the scale:

• Gaining consent for internal vaginal or rectal treatment
• Asking about comfort with students or shadowing
• Clarifying goals like returning to running or biking (and whether those are real goals)
• Interviewing clinicians and understanding true interest in patient populations
• Navigating employee requests without jumping straight into action

This simple shift turns communication into interaction — and helps you gather better information, build trust faster, and avoid unnecessary conflict.

🎓 48-Hour Clinical Course Sale
To celebrate this episode, we’re running a 48-hour flash sale on all Pelvic PT Rising clinical courses.

• Use code RISING26Lifetime access to all courses
• This is the only sale like this we’ve done all year

If you’ve been thinking about taking one of Nicole’s clinical courses, this is the time.

👉 Learn more and grab your course at
 www.pelvicptrising.com/clinical

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

A lot of pelvic health business owners are just surviving.

They’re working hard.  Seeing patients.  Paying the rent and bills, with maybe a bit left over for themselves.  

But surviving isn’t why most people started a practice.

In this episode, we talk about what it actually means to thrive as a business owner—and why the success you want is often on the other side of the work you’ve been avoiding.

We walk through the five core areas we see in truly thriving practices:

• Financial confidence
• Lifestyle and time freedom
• Clinical excellence
• Daily enjoyment
• Community impact

We also discuss why willpower alone rarely gets people there, why grinding harder often backfires, and how getting the right support can completely change the trajectory of your business.

If you’ve ever felt stuck between “it’s fine” and “this isn’t what I imagined,” this episode will give you clarity—and a framework to think differently about what’s next.

👉 Want to see where you fall right now?
Check out our Thriving Practice Calculator:
www.pelvicptrising.com/thriving-practice

Business Accelerator Program - Closing Tomorrow!

If you want to take your business to the next level - to truly thrive - we'd love to help you.  Find all the details and register at www.pelvicptrising.com/accelerator.  Registration closes tomorrow (Fri, 12/19).  

See how 425+ business owners have transformed their practice!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Mentorship has become a buzzword in pelvic PT and OT — but most conversations around it are incomplete.

In this episode, we break down the four distinct types of mentorship that actually shape clinical confidence, patient outcomes, and long-term career satisfaction. Most clinicians receive some mentorship — but very few receive all four.

We unpack:

• Hard Skills
  Hands-on techniques, assessments, and interventions — what most people think of as “mentorship,” and what many con-ed courses focus on.
• Soft Skills
  Communication, motivation, managing difficult personalities, and helping patients truly buy into care. Often overlooked, but frequently the difference between average and exceptional outcomes.
• Information
  Understanding diagnoses, testing, medical management, and knowing what actually matters for the patient in front of you — not just what’s theoretically interesting.
• Professional Development
  Career guidance, burnout prevention, time management, and mentorship that considers you as a person — not just a clinician.

We also talk honestly about what to do if you’re not getting this level of mentorship where you work — and how to approach your career strategically instead of hoping things improve on their own.

🔍 Looking for a clinic that prioritizes mentorship?

We’ve built a Hiring & Mentorship Map featuring pelvic PT/OT practices — many within the Pelvic PT Rising community — that value training, growth, and long-term career development.

👉 Explore the map: www.pelvicptrising.com/map

Whether you’re early in your career or years in, this episode will help you identify what kind of mentorship you’re actually receiving — and what you may be missing.

Business Accelerator Program

Are you a business owner looking to take things to the next level in 2026?  If so, make sure you check out the Business Accelerator Program - the January cohort is now open for registration!  

👉 www.pelvicptrising.com/accelerator

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

In this rapid-fire episode, we’re celebrating Cohort #6 of the Pelvic PT Rising Business Accelerator 🎉
 

To mark the milestone of 400+ graduates and 800+ practices mentored, we’re pulling back the curtain and breaking down the entire Accelerator curriculum… in 18 minutes.

You’ll walk away with quick insights from each of the 18 modules, organized across the Three Pillars of a Thriving Practice:

🟦 Pillar 1: Marketing & Sales

How to attract patients consistently, increase conversions, build trust, stand out locally, and stop relying on chance or burnout-driven marketing.

🟩 Pillar 2: Business Systems

The operations, policies, efficiency tools, dashboards, and decision-making frameworks that take you from hustling → stable → scalable.

🟧 Pillar 3: Clinical Excellence

Clinical systems that improve outcomes, boost retention, increase buy-in, and create an unforgettable patient experience.

We also share:

✨ Why mastering only ONE pillar creates a “surviving” business
✨ Why mastering TWO creates a “growing” business
✨ And why mastering ALL THREE is the key to thriving — financially, clinically, and personally

Whether you’re a solo practice owner, a multi-clinician leader, or dreaming of opening your first clinic, this is a fast, dense, practical look at what actually creates a strong business foundation.

Perfect for anyone curious about what the Accelerator is really like — and what successful pelvic practices have in common.

Interested in joining us and having a different business in 2026?  Business Accelerator Program is now open for registration at www.pelvicptrising.com/accelerator.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 800+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!