Building a Cash-Based Practice
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Oliver Buchannon
Suzy Wraines

Real Life

The Physical Cost of Staying in Insurance-Based Healthcare

Apr 15, 2026

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8 min read

The Physical Cost of Staying in Insurance-Based Healthcare

Issue 019 - This article is about that cost, and what changes when practitioners build a different kind of practice.

Suzy Wraines
Suzy Wraines

Getting Started

+1

The Answer to "What Do You Do?" Isn't Your Job Title

Apr 1, 2026

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7 min read

The Answer to "What Do You Do?" Isn't Your Job Title

Issue 018 - There is a better answer. And it doesn't require a script.

Suzy Wraines
Suzy Wraines
You Don't Have to Be Everywhere to Be Found

Mar 25, 2026

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7 min read

You Don't Have to Be Everywhere to Be Found

Issue 017 - What if the right person could search your location, find your specialty, and land on your name?

Suzy Wraines
Suzy Wraines
She cried in the first 20 minutes. Here's why.

Mar 18, 2026

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6 min read

She cried in the first 20 minutes. Here's why.

Issue 016 - The patient who finally felt seen.

Suzy Wraines
Suzy Wraines

Getting Started

A Nurse Practitioner Got Kidney Stones at His Last Job.

Mar 11, 2026

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7 min read

A Nurse Practitioner Got Kidney Stones at His Last Job.

Issue 015 - Eight Months Later, Patients Hug Him on the Way Out.

Suzy Wraines
Suzy Wraines

Messaging

How to Get Clients Without Insurance: What Replaces It

Mar 4, 2026

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6 min read

How to Get Clients Without Insurance: What Replaces It

Issue 014 - The insurance system built your client base. That's not a criticism, it's just what happened.

Suzy Wraines
Suzy Wraines

Pricing

Cash-Based Practice Pricing: Set Rates That Sustain You

Feb 25, 2026

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8 min read

Cash-Based Practice Pricing: Set Rates That Sustain You

Issue 013 - You've probably been told to "charge your worth," "research industry standards," or "start low and raise later."

Suzy Wraines
Suzy Wraines

Getting Started

"I was terrified I wouldn't follow through."

Feb 18, 2026

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7 min read

"I was terrified I wouldn't follow through."

Issue 012 - What happened when this nurse practitioner finally got support and stopped trying to figure it out alone.

Suzy Wraines
Suzy Wraines
An Orthopedic Surgeon Resigned Before She Had a Plan: Here's What Happened

Feb 11, 2026

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7 min read

An Orthopedic Surgeon Resigned Before She Had a Plan: Here's What Happened

Issue 011 - You've probably been told you need to have everything figured out before you make a move.

Suzy Wraines
Suzy Wraines

Getting Started

How to Start a Cash-Based Practice: The 3 Essentials

Feb 4, 2026

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8 min read

How to Start a Cash-Based Practice: The 3 Essentials

Issue 010 - Here's what actually happens when you start a cash-based practice: you need three things. Not seventeen. Not even seven. Three.

Suzy Wraines
Suzy Wraines

Getting Started

Cash-Based Practice: What You're Actually Allowed to Do

Jan 28, 2026

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6 min read

Cash-Based Practice: What You're Actually Allowed to Do

Issue 009 - The insurance system wants you confused about what you're allowed to do. Confusion keeps you compliant.

Suzy Wraines
Suzy Wraines

Pricing

From 15 Insurance Patients a Day to 20 Cash Clients a Week.

Jan 21, 2026

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5 min read

From 15 Insurance Patients a Day to 20 Cash Clients a Week.

Issue 008 - Exploring autonomy, boundaries, and the client–provider relationship in cash-based care.

Suzy Wraines
Suzy Wraines

Pricing

The $2,700 Moment That Changed Everything

Jan 14, 2026

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4 min read

The $2,700 Moment That Changed Everything

Issue 007 - What I learned about pricing when I left human medicine.

Suzy Wraines
Suzy Wraines

Pricing

Why pricing feels uncomfortable (And what that discomfort actually means)

Jan 7, 2026

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3 min read

Why pricing feels uncomfortable (And what that discomfort actually means)

Issue 006 - The pricing resistance isn't a failure. It's information.

Suzy Wraines
Suzy Wraines

Getting Started

You're Not Behind, Here's What Cash-Based Actually Looks Like

Jan 2, 2026

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5 min read

You're Not Behind, Here's What Cash-Based Actually Looks Like

Issue 005 - Really, what building a cash-based wellness business actually looks like day-to-day and why it works when it's done with clarity and alignment.

Suzy Wraines
Suzy Wraines

Getting Started

Cash-Based Healthcare: Legal, Ethical, and Always Here

Dec 29, 2025

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7 min read

Cash-Based Healthcare: Legal, Ethical, and Always Here

Issue 004 - What Veterinary Medicine Taught Me About Cash-Based Healthcare

Suzy Wraines
Suzy Wraines

Getting Started

When the System Stops Fitting, Why Wanting Something Different Doesn’t Mean You’re Done Caring

Dec 22, 2025

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6 min read

When the System Stops Fitting, Why Wanting Something Different Doesn’t Mean You’re Done Caring

Issue 003 - There’s a moment many clinicians reach that feels uncomfortable to admit, sometimes even to themselves.

Suzy Wraines
Suzy Wraines

Getting Started

Starting a Private Practice: Cash-Based vs. Insurance

Dec 17, 2025

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6 min read

Starting a Private Practice: Cash-Based vs. Insurance

Issue 002 - Starting a private wellness practice is never just a strategic decision. It’s an energetic one.

Suzy Wraines
Suzy Wraines
What Changes When Care Is Chosen, Not Authorized

Dec 15, 2025

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8 min read

What Changes When Care Is Chosen, Not Authorized

Issue 001 - Exploring autonomy, boundaries, and the client–provider relationship in cash-based care.

Suzy Wraines
Suzy Wraines