5 Steps To Resigning From Health Insurance Panels

1) Rank the insurance companies

Make a list of insurance panels and rank them from your most favorite to least favorite based on:

reimbursement rates

paper work requirements

how quickly you're paid

number of clients you see from each panel

the type of clients generally referred

your general feeling working with each panel

2) Resign in waves starting with your least favorite

Generally, I recommend to my consulting clients to resign in waves over the course of a year. Resign first from the panels with the lowest ranking - the ones that pay the least and are the most difficult to work with.

3) Check your contract for resignation requirements

Review your contract to check on the resignation process that you agreed to. Look at the time frame required. Do you need to give them 30, 60, or 90 days notice? Do you need to send in a written letter?

4) Beef up your web presence

As part of your plan to resign from insurance panels, it critical to invest in creating other referral sources. The most important being your web presence. Google is my #1 referral source. The majority of our clients who come to my clinic Wasatch Family Therapy find us online. The benefit of clients finding you online is that they've already read about you, your services, and your philosophy on your website and have chosen to contact you. This increases the likelihood that they will be willing to pay your full fee.

Website - If you don't have a website, make that a top priority. If you have a website, make sure it's effective. Here are some common website mistakes and how to fix them.

Blog - If you don't have a blog on your site, add one and start blogging weekly.

Therapist finder sites - join PsychologyToday.com, GoodTherapy.org, and your professional organization's "find a therapist" site to help potential clients find you.

5) Know the benefits of self-pay and be prepared to educate clients

There are benefits to the client for paying out of pocket, instead of going through their insurance company, that they may not be aware of. As you make the transition away from managed care to a fee-for-service practice it's important to familiarize yourself with these benefits so you can educate your clients. A few of those benefits are: control over which provider you choose to work with, the course of treatment decided on by client and therapist instead of insurance company, and no diagnosis requirement.

Here's an example of how a provider educates her patients on the benefits of self-pay. Utah Psychiatrist Kelli Hyland, MD my colleague and consultation client, shares her philosophy in this blog post "Why Self-pay?"

TV interviews are a great way to educate about relationship and mental health topics and to raise visibility for your private practice. Over the past few years, I've actively sought out interview opportunities and have found that over time, they have bolstered my credibility, fostered trust in my knowledge and clinical skills, and raised visibility of my private practice. Thanks to social media, TV interviews can reach beyond the viewership of the live broadcast to a larger audience. One example is this short, live interview for a local Utah TV lifestyle program. "How To Handle A Narcissistic Mother" has had over 9000 views on YouTube (and yes, I'm still working on not saying ,"um").

I reached out to other therapists to find out what they'd learned from their TV interview experience, what advice they'd give to therapists preparing for their first TV interview, and how these interviews have impacted their practice.

Here are 10 Tips to help you look and sound like an expert when TV interviews come your way.

1 - Do your homework

Find out who is interviewing you, how long the interview will be, and who watches the show so you can tailor your interview to fit the format and show yourself in your best light. Therapist Sharon Rivkin, MA, MFT and author of Breaking the Argument Cycle: How to Stop Fighting Without Therapy suggests researching the show's demographics, audience, and format so you can tailor the interview to the show's viewers. Before his local television news interview, Psychotherapist John Sovec, M.A., LMFT went online and found clips of the newscaster who'd be interviewing him to get familiar with his interview style.

2 - Develop talking points

From my own TV experience, mapping out 5-6 talking points is crucial to building my confidence, producers' confidence and interviewers appreciate the direction. Sovec adds, "The TV world moves fast and I always find that talking points help me to stay centered." Texas Psychologist Susan Fletcher, Ph.D., author of Working in the Smart Zone: Smart Strategies to be a Top Performer at Work and at Home found that "some TV anchors will stick to the talking points while others will veer off. Be prepared to go a little off topic and be flexible. You can always work your way back to the topic."

3 - Add visuals and examples

Fletcher suggests incorporating visual elements into your TV segments and shares this example: "One of the most visual segments I did was What to do on your Spring Break Staycation and I had visuals for everything you could do with your children. I've also used personal photos to show my points." According to Rivkin, giving specific examples to support your talking points makes interviews more compelling. She's learned through experience to "...be succinct, clear and direct. Give an example of a client you've worked with. Stories are more compelling and paint a clearer picture than descriptions."

4 - Prepare and practice

When preparing for a TV interview Terrence Alspaugh, LPCP, Psychotherapist of Family Solutions of Maryland wrote down and memorized talking points on index cards. "I practiced elaborating on each point with illustrations and examples. I wanted to be sure that I could say more about the points if time allowed." TV veteran Will Courtenay, PhD, LCSW, The Men's Doc always "over-prepares: for interviews and says he's always glad he did.

5 - Remember that you're the expert

If you're feeling a bit anxious about an upcoming TV interview David Simonsen M.S. LMFT of Creative Solutions Counseling suggests, "Remember that you are the expert and they are coming to you. Find comfort in the fact that you know your field and you have knowledge they don't."

6 - Speak in sound bites

A sound bite is a short phrase or a few phrases of information. Speaking in sound bites requires therapists to use skills that aren't often practiced. Good therapists often speak slowly, reflect back, pause often, and go deeper. However, good TV interview skills require the opposite: speak quickly, don't reflect back, keep the interview moving, and stay on target. For taped TV interviews, remember to pause at the end of each thought or phrase to allow for clean editing.

7 - Wear comfortable and flattering clothing

From my own TV experience, I find it's important to wear something comfortable that reflects my professional personality and my practice. If something you're wearing feels awkward or out of place it will detract your focus from the interview. Here are a few "what to wear" tips:

Bright solid colors generally look better than prints or white.
Wear colors that have elicited the most compliments in the past.
Accessorize close to your face, drawing the eye upward.
Wear more makeup than usual, even for men. "Wearing some foundation is especially important for men, who often have oily skin -- which will look shiny on screen -- and are more likely to sweat," Courtenay suggests.

8 - Look at the interviewer

Unless instructed otherwise, look at the interviewer. If the show is filming with several cameras, it can be confusing to track which camera to look at. For the record, the camera with the red light is the one currently filming. On her first TV interview Fletcher wasn't sure if she should look at a camera or at the interviewer after the interview was over. She says, "I was advised to continue looking at the TV host."

9 - Be yourself

Rivkin suggests, "Don't be afraid to be yourself and let your personality show. If appropriate, use humor. It can make the interview more interesting." Courtenay gives the following advice for therapists preparing for TV interviews, "Think of your interviewers as friends and remember they really are interested in talking with you. Try to achieve some intimacy, as if you're talking one-on-one to a friend. Don't worry about making mistakes, everyone does; if you misstate something, just simply repeat it."

10 - Don't Expect Immediate Results

Media Psychiatrist Carole Lieberman M.D. and author of Bad Girls: Why Men Love Them & How Good Girls Can Learn Their Secrets says:

Therapists often think that this will grow their practice, but unless you offer some very specific niche therapy that the public may not be familiar with, and patients with this need happen to see your appearance, it is not the most efficient way to get patients. I do not do it to grow my practice. In fact, TV appearances interfere with practice because you often have to reschedule patients at the last minute to do a TV show.

Of her TV interview experience Melody Brooke, MA, LPC, LMFT, author of Oh Wow This Changes Everything says that they haven't made a difference in her practice. "Its given me a lot of street credibility, but other than that, my practice has not grown at all." Courtenay adds, "Unfortunately, the impact of my TV appearances are hard to judge. However, many of my clients have told me that they've seen interviews with me before we met." Sovec says that he usually gets some calls after TV interviews but sees them as another step toward building public awareness about his work and to build his credibility as an expert.

In an upcoming post I'll share tips to maximize your TV exposure. Until then, watch and learn from these seasoned therapists' TV interviews.

Watch Dr. Will Courtenay

Watch Dr. Susan Fletcher

Dr. Carole Lieberman

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5 Steps To Resigning From Insurance Panels