Pelvic PT Rising

Patient Outcomes = Skill x Time

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 [https://www.pelvicsanity.com/dr-nicole-cozean] founded Pelvic PT Rising to provide clinical [https://www.pelvicptrising.com/courses] and business [https://www.pelvicptrising.com/business] resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy [https://www.pelvicsanity.com/] (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) [https://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) [https://www.pelvicptrising.com/business] to build a practice that works for them!  Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

How We Get Paid - Why Clinicians & Clinic Owners are Getting Squeezed by Insurance Companies

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 [https://www.pelvicsanity.com/dr-nicole-cozean] founded Pelvic PT Rising to provide clinical [https://www.pelvicptrising.com/courses] and business [https://www.pelvicptrising.com/business] resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy [https://www.pelvicsanity.com/] (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) [https://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) [https://www.pelvicptrising.com/business] to build a practice that works for them!  Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

What to Do With a Long Waitlist

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 [https://www.pelvicsanity.com/dr-nicole-cozean] founded Pelvic PT Rising to provide clinical [https://www.pelvicptrising.com/courses] and business [https://www.pelvicptrising.com/business] resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy [https://www.pelvicsanity.com/] (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) [https://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) [https://www.pelvicptrising.com/business] to build a practice that works for them!  Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Goal Setting for 2026 — Diversify Your Portfolio

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 [https://www.pelvicsanity.com/dr-nicole-cozean] founded Pelvic PT Rising to provide clinical [https://www.pelvicptrising.com/courses] and business [https://www.pelvicptrising.com/business] resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy [https://www.pelvicsanity.com/] (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) [https://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) [https://www.pelvicptrising.com/business] to build a practice that works for them!  Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Crafting Your 2025 Narrative: Fighting Negativity Bias & Giving Yourself Credit

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 [https://www.pelvicsanity.com/dr-nicole-cozean] founded Pelvic PT Rising to provide clinical [https://www.pelvicptrising.com/courses] and business [https://www.pelvicptrising.com/business] resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy [https://www.pelvicsanity.com/] (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) [https://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) [https://www.pelvicptrising.com/business] to build a practice that works for them!  Get in Touch! Learn more at www.pelvicptrising.com [https://www.pelvicptrising.com], follow Nicole @nicolecozeandpt [https://www.instagram.com/nicolecozeandpt] (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com). Check out our Clinical Courses [https://www.pelvicptrising.com/clinical], Business Resources [https://www.pelvicptrising.com/business] and learn more about us at Pelvic PT Rising...Let's Continue to Rise!