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  • Writer's pictureAvivit Fisher

The Power of Private Pay Clients: How to Attract and Keep long-term therapy clients

Despite a full caseload that insurance panelling enables for your private practice, creating a sustainable financial future on your terms can be challenging if you don't accept private pay clients. The low reimbursement rates must cover your business and lifestyle costs and often leave very little for your future financial security. In this article, I'll explore how you can attract and retain long-term clients who are willing to pay a premium for your services out of pocket.


private pay clients

The Advantages of Attracting Private Pay Clients


Every comfort carries with it its own risk. If you've been following the recent security breach one of the major health insurance companies has experienced, you likely know about the immense toll on medical practices panelled with this provider.


And although security breaches don't happen often, relying on insurance carries other risks and limitations for your practice. The reimbursement limitation and the hassle of submitting claims are just one aspect of those limitations. The biggest issue is your limited control you have over your practice, caseload, and financial goals.


Pivoting to private pay can offer you a stream of steady income and more say over the services you provide, the niche you serve, and the hours you allocate to client work.


Private pay clients are often willing to pay a premium for their mental health services, and value fit over cost. As a provider, accepting out-of-network clients will also allow you to focus on providing personalized, high-quality care without compromising on your expertise.


Having this flexibility will put you on a faster track to financial stability and increase your revenue while working with the clients that you enjoy and with whom you have the best outcomes. But before you make this switch let's talk about the change in your mindset that you must adopt for attracting private pay clients.




Understanding the Needs and Preferences of Private Pay Clients


To attract and retain private pay clients, you'll need to understand their needs and preferences. These clients are not looking for cheapest therapy but for the best care for their specific needs.


That's why focusing on lowering your fees to enter the market is the wrong approach to take. Instead, focus on understanding what niche you would like to serve and the "ideal clients" within your niche. By understanding what they value most, you can meet their expectations and differentiate yourself from other providers - your competition.


Think of all the elements that are different from an insurance-based process to clarify what you can offer. Your private pay clients will probably value:

  • Focus on working with issues that are relevant to their lives.

  • Scheduling flexibility.

  • A streamlined process in which they feel that their questions will be answered quickly and the booking of appointments will be simple and convenient.

  • Conveniences such as telehealth services and appointment reminders.


All these logistical aspects are no less important than the marketing efforts you will use to attract these clients to your practice.


But more than logistics, your potential clients want to feel like they are being seen and understood. By doing your own research to understand their pains, fears, desires, and aspirations, you'll be able to create a marketing message that connects with your ideal target audience and attract the best-fitting clients for your practice.



Building Trust and Credibility with Private Pay Clients

A marketing truism states that people like to work with those whom they "know, like, and trust."


If you want to attract private pay clients to your practice, you'll need to let people get to know you, offer enough information for them to like you and have a relatable enough message for them to trust you. Simple, not easy.


One of the most effective ways to build trust with private pay clients is by building a strong therapy brand. To build an authentic brand, you'll need to position yourself as the best choice for your ideal client and an authority in your niche.


To do that, you'll need to focus on the following:

  • Understanding how you can differentiate yourself from other providers

  • Creating a core marketing message

  • Designing a visual representation of your brand (logo, website, etc.)

  • Building a strong presence online and in your geographic location

  • Consistently showcasing your expertise


To achieve all that, you'll need to allocate the time to create a winning marketing strategy for your practice.


Creating a Tailored Marketing Strategy for Private Pay Clients

The most important difference between insurance and private pay practice is that insurance helps you generate clients without your input.


With a private pay practice, you'll need to invest time, money and effort into filling your caseload. The good news is that when you've created a marketing strategy and built a system that consistently attracts new clients to your practice, maintaining this system will require far less investment and yield much bigger returns.


If you're new to marketing, you may think that your efforts are limited to generating referrals through other providers. And while it's a valid way to attract clients, it's not the only one.


I recommend adopting a multichannel approach that combines traditional and digital marketing. Here's what you can start doing right away:


  • Expand your referral network with an outreach plan.

  • Attract clients online by investing in your SEO.

  • Use Social Media to build up your brand.

  • List your practice in directories to create an online presence.

  • Advertise your practice to attract motivated clients.


If that sounds intimidating at first, you don't need to jump into all these channels immediately. You can start by tackling one channel at a time and gradually adding the other ones to your marketing mix.


Effective Tactics for Attracting and Retaining High-Value Private Pay Clients

While each strategy offers it's own set of tools and tactics, I'd like to unpack the most effective tactics that you can use right now to let as many people as possible find out about your practice. These tactics will help you create awareness beyond your immediate personal and professional network. Let's do it step-by-step:

  1. Update your website's homepage to include a Call to Action (CTA) button urges people to schedule a consultation with you. Put your CTA button front and center in the most visible areas of your homepage such as: the hero image, the navigation bar, or both.

  2. Build a landing page to capture the people who click on your CTA button. Here's a helpful artcile on landining pages.

  3. Include the links to your home page and your landing page in all your online listings: your Psychology Today profile, other online directories, and social media bios.

  4. Share your website link and services with other therapists via listserv, professional social media groups, and other mailing lists you're a part of.

  5. Reach out to the local business owners in your area that work with the population that includes your "ideal client".


These actionable steps can be implemented immediately without a financial investment and major technical skills. By doing these small changes you can start letting more people know about your practice before you take the time to work on your overall marketing strategy.


Retaining High-Value Private Pay Clients Through Exceptional Customer Service

Unfortunately, not enough is being said about client retention when we discuss marketing a therapy practice. The common belief is that if you're a good counselor, your clients will stay with you for a long term. And while this may be true for the most part, you can always work on improving your client experience by making small but impactful adjustements.


The truth is that it's easier to retain a client than to acquire a new one so your retention strategy should not be an afterthought.


Seeking regular feedback can help you better understand how satisfied your client is with your service. By actively addressing any concerns or issues that may crop up, and demonstrating your dedication to your clients' satisfaction and wellbeing, you can increase your retention rates as well as referrals from your clients.


Conclusion: The Potential of Private Pay Clients for Your Practice's Success

With the demand for therapy services in 2024 being at an all time high, so is the potential for your success. But as I showed you in this article, you need to change your mindset about building a private pay practice from a healthcare provider to a service provider.


Without insurance, you simply can't rely on luck and random referrals to grow your practice and fill your caseload. Instead, you'll need to become proactive in letting people know about you and becoming a trustworthy voice in the mental health space.


If you liked this article and would like to talk about your next steps, schedule a quick call with me and let's chat!

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