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

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/

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

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