Insurance or Independence? How Practice Owners Can Thrive Out of Network

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:
The ONE thing every provider needs to launch online! Join the FREE Brand Catalyst Webinar on Friday September 19th at 1pm cst, register now: https://app.gohighlevel.com/v2/preview/M2VrzX8014U5wAlFuaVx

Join The Uncharted CEO: An 8-week immersive experience for clinic owners designed to increase revenue, maximize profits, and build cash flow systems that create freedom NOW, not at 65: https://sheslaystheday.mykajabi.com/the-uncharted-ceo-program

Join The Uncharted Collective: A Membership for Healthcare Professionals to Build a Profitable Personal Brand in Just 2 Hours a Week: https://sheslaystheday.mykajabi.com/the-uncharted-collective

Sign up for the Weekly Slay newsletter: https://sheslayspodcast.com/weekly-slay/

Listen to the show on Spotify: https://open.spotify.com/show/1I0ygvUrMy8dLnQVgyOyt9?si=d65b0be394b04238
Listen to the show on Apple Podcasts: https://podcasts.apple.com/us/podcast/she-slays-the-day-with-dr-lauryn-brunclik/id1462485522

For more content or to get in touch, follow Dr. Lauryn:
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LinkedIn: https://www.linkedin.com/company/she-slays-the-day-podcast/

00:00 Introduction
01:31 Talking Insurance
04:41 Opening Prayer
05:30 When Lauryn Got Out of Network
11:08 Reflections Intro
11:42 Reflection One
16:58 Reflection Two
23:20 Reflection Three
26:13 Reflection Four
28:17 Recap & CTA

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