Grow Your Practice Podcast

How to Add Cash Pay Services to Your PT Practice the Right Way

In this episode, Chad Madden breaks down the real playbook for rolling out cash pay services inside a private practice. He shares how his team 6x’d cash pay revenue, the three-step promotion strategy that works, and why clinician confidence matters more than most owners realize. You’ll also hear real numbers from laser, HBOT, and reactivation campaigns so you can see what successful implementation looks like. If you’re trying to grow profitability, help more patients, and reduce dependence on insurance reimbursement, this episode gives you a practical roadmap. Time Stamps 00:00 - Welcome and Why Cash Pay Matters Now 00:24 - The Shift from “Should We?” to “How Do We Do It?” 01:34 - The 3 Ways to Promote Cash Pay Services 02:15 - How Existing Patients Drive Early Cash Pay Success 04:31 - Reactivating Past Patients with Offers and Promotions 07:54 - Using Paid Ads for Cash Pay Services the Right Way 11:36 - Case Studies, Evidence, and Clinician Buy-In 17:06 - Hiring for Cash Pay Confidence and Sales Competency 20:36 - Why Private Practices Can’t Ignore Cash Pay Anymore

2026 Breakthrough Virtual Summit: New Rules to Grow Your Private Practice

In this episode, Chad Madden gives a preview of the upcoming Breakthrough Virtual Summit: State of PT: The New Rules of Private Practice Growth in 2026. He shares what practice owners can expect, from reimbursement challenges and AI to cash-based services, compliance, team building, and practice valuation. If you own or lead a private practice, this free event is designed to help you navigate industry changes and grow with confidence. Check the show notes for the registration link and save your spot. Register now: https://getbreakthrough.com/2026-virtual-summit/ TIME STAMPS 00:00 - Welcome to Grow Your Practice 00:21 - Free virtual summit announcement for PT owners 01:15 - State of PT: reimbursement, hiring, AI, and automation 01:33 - Paul Welk on practice exits and valuation playbooks 03:02 - Systems, scaling, and operations with Tim Dwire 03:23 - Cash service sales and packaging with Doug Adams 04:20 - Compliance and uncovered billing with Mary DaLong 04:59 - Team building, mindset, front desk, and growth strategies 08:38 - Justin Moore keynote on the future of PT in 2026

How Breakthrough Started: From Cold Email to PT Marketing System

In this episode, Chad Madden shares the behind-the-scenes origin story of Breakthrough—starting with a cold email in 2012 and a call with Carl Mattiola (then at Tesla). You’ll hear how private practice marketing evolved as physician referrals declined, and why direct-to-consumer strategy became essential. Chad breaks down the shift from courses and newsletters to a unified, three-channel marketing system built for private practice growth. Subscribe for weekly best practices to help you grow your clinic with more time and financial freedom. If marketing feels complicated and your schedule isn’t as full as it should be, Breakthrough gives you a simple, proven system to attract and follow up with new patients automatically—book a demo here: https://getbreakthrough.com/demo 00:00 - Welcome to Grow Your Practice 00:21 - Why this episode: the Breakthrough origin story 01:02 - 2008–2013: physician referrals decline & the push to DTC marketing 03:44 - The cold email that started it all (November 2012) 05:41 - Carl’s Tesla background + interviewing 300+ owners 09:01 - From Clinic Metrics to marketing referrals (and early stumbles) 16:12 - Webinars, “green ink letter,” and the early courses 19:27 - Evolution into ads + a purpose-built CRM and 3-channel system 26:43 - Market–Message–Media Match + how AI changed copywriting

From Overworked to Owner: How to Escape the PT “Owner’s Trap” With Jamey Schrier

Private practice owners: feeling stuck in the clinic and stretched thin? In this episode of the Grow Your Practice podcast, host Chad Madden interviews Jamey Schrier on moving from burned-out clinician to true business owner. You’ll hear the pivotal moments (including a literal clinic fire), the mindset shifts around identity and ego, and a practical first step to reclaim your time. If you want a self-sustaining PT practice that doesn’t require you every day, this one’s for you. If marketing feels complicated and your schedule isn’t as full as it should be, Breakthrough gives you a simple, proven system to attract and follow up with new patients automatically—book a demo here: https://getbreakthrough.com/demo 00:00 - Welcome & guest intro 02:30 - The fire that forced a reset 05:45 - Personal low points: stress, family, and wake-up calls 12:10 - Stages of a practice: clinician → operator → entrepreneur 14:50 - First step out of the trap: the “activity organizer” 17:45 - Ego, identity & letting go of control 29:40 - Lifestyle by design (not default) 37:40 - Profit vs. revenue in today’s reimbursement climate 43:55 - Where to start: assessment & next actions

State of PT 2026: Hiring, Reimbursement & Cash-Pay Growth

Chad breaks down the 2026 state of private practice across four pillars: people, finance, operations, and marketing. You’ll hear hard numbers on the DPT shortage and debt, why reimbursement + inflation equals a ~29% hit since 2019, and how cash-pay services are stabilizing margins and improving outcomes. He also shares systems to streamline ops and a playbook for always-on marketing—even when you’ve got a waitlist. Subscribe for weekly strategies to grow a resilient, patient-first practice. TIMESTAMPS 00:00 - Welcome & why this matters 00:44 - The four pillars of private practice 03:00 - People: DPT shortage, debt & salaries 09:05 - Finance: fee schedule declines & the 29% squeeze 15:04 - Cash-pay services: what works and real numbers 20:55 - Team buy-in & rollout pitfalls 22:36 - Systems/ops: EMR, integrations & AI 24:28 - Marketing evolution, reactivations & waitlist trap 30:50 - Key takeaways & next steps