Episode Transcript
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Dr. Michael Peru (00:09):
Chiropractors,
have you heard about the new
market opportunity?
Hi, everybody.
Welcome to the KC ChiroPulsepodcast brought to you by Kats
Consultants and ChiroHealth USA.
I'm Dr.
Michael Perusich, your host, andI'm in the studio by myself
today.
And I really just wanted to jumpin here and talk about
something.
I want to talk about this newmarket, unlimited, untapped
(00:33):
market.
Okay, it's not really new, but Isee us so often trying to tap
into the smallest possiblechiropractic market we can, and
we're all competing in the samearena.
What is it?
That arena is the pain market.
We're constantly going afterpeople who have pain.
(00:55):
We're introducing chiropracticto new patients who Only have
pain.
If you have back pain, come andsee us.
If you have shoulder pain, comeand see us.
If you're having headaches, comeand see us.
If you're having knee pain, hippain, come and see us.
If you're having sciatica, comeand see us.
If you have a disc issue causingpain down the leg, come and see
us.
And it's this constant barrageof new patient acquisition
(01:17):
messages going after the painmarket.
Here's the crazy thing.
The CDC says at any given timethat only about 39 percent of
the population has spine relatedpain again at any given time.
All right, 39%.
Now you guys know me.
I'm a numbers guy.
Let's flip that around.
(01:37):
What's the other part doing?
Where's the rest of the 100%?
That's 61%.
That's that market.
That's not having pain.
How many times have you talkedto somebody in your practice
about bringing maybe a spouse inor a child in?
You've got mom there and Mom'stalking about little Billy who
is playing soccer.
(01:57):
You should bring Billy in.
Why would I bring him in?
He doesn't have pain.
Think about that.
Why don't we go into marketingtowards the untapped market?
People can enter chiropracticcare through the wellness
window, right?
Of course they can.
The dentist figured this out fora long time ago, back in the
(02:18):
50s.
They realized that going afterthe pain market really didn't
create profitable practices.
They also realized Why are wewaiting until patients are
having a problem?
Why don't we create preventativecare?
That's the untapped market.
All right.
We got to take a quick break,but I want to dive into this a
little bit deeper.
And this might not be as long ofa podcast as sometimes we do.
(02:42):
Because it's a fairly shortsubject.
And of course I'm in the studioby myself today.
It doesn't mean I can't talk,but let's take a quick little
break to hear a word for oursponsors.
And we'll be right back.
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Dr. Michael Perusich (04:01):
Hi
everybody.
Welcome back to the KCChiroPulse podcast.
We're talking about the untappedmarket of chiropractic
preventative care, wellnesscare, maintenance care, whatever
you want to call it.
Let's just go with preventativepodcast.
I said before the break that thedentist figured out that
preventative care was the biggermarket.
(04:23):
Back in the fifties may haveeven started in the forties, but
most of the research that I'veseen and the stuff I read about
says it started in the fifties.
And so what did Dennis startedstart doing?
They started showing people howto brush their teeth.
I don't know if you're oldenough to remember.
I remember back in, I think itwas kindergarten.
A dentist coming to school andhe had the great big giant cool
(04:45):
toothbrush and the giant tooth.
And he showed us how to brushour teeth.
And then he gave us these littlepink pills that you chewed up
and stained our teeth.
And we'd go into the bathroomand everybody look at their
teeth.
They're all standing.
We got to brush our teeth andsee the stains go away right
then and right there.
And so they're reinforcing thiswhole idea that you have to
brush your teeth every day, butwhat are your patients doing for
(05:07):
spinal hygiene?
On a daily basis.
Are they just waiting until paincomes about?
Why aren't we talking to morepeople about starting in
chiropractic care from thepreventative side?
It's a much bigger market.
It's got to be a much easiermarket.
Wouldn't a patient that has nopain starting out in care be an
(05:28):
easier patient to manage?
Sure, it would.
Is it going to be as deep of atreatment plan up front?
No, probably not.
But guess what?
When they do have back pain, andI can't remember what the
numbers are.
It's some staggering number,like 60 or 70 percent of people
will have back pain or spinerelated pain at some point in
their life.
(05:48):
Wouldn't it be great if they'realready a patient of yours?
See, this is what the dentistsdo.
They've got you in preventativecare.
And then if you do have aproblem, where are you going to
go?
You're going to go to thatdentist.
And if it's a problem like thatneeds to be referred out, maybe
it's an endodontal problem or aperiodontal problem, they're
(06:10):
going to refer you.
But then you're going to comeright back for your preventative
care.
We need to be creating that samereferral network, that same
entry into our practices throughthat preventative window.
And do we do great things forpreventative care through
chiropractic?
I personally, I think it'sphenomenal.
I think it's the jewel of whatwe do.
(06:32):
We're great at getting patientsout of pain, but we're great at
keeping people functional.
We're great at people keeping,we're great at keeping people in
their activities at work, golf,bowling, swimming, soccer,
whatever it might be.
Taking care of the kids,barbecuing out in the backyard,
whatever it might be.
(06:52):
We're really great at keepingpeople functional.
And then you splinter off intoall the other things that we do,
like exercise recommendationsthat are appropriate core
exercises, nutrition, overallgood health and longevity, those
kinds of things.
We do amazing things for peopleon the preventative side.
And again, I agree.
(07:14):
We're great at the pain side.
And if you want to have a painbased clinic, I'm not saying
that's a bad thing at all.
Pain based clinic is fine.
If you're looking to grow yourpractice and you want to get
away from pain, guess what?
There's a bigger market up outthere and it's virtually
untapped and it's thepreventative market.
We're going to take a quickbreak.
(07:35):
Another word from our sponsors,but I want to come back and I
want to talk about some of themajor benefits to your practice
and your practice growth.
When we come back, we'll beright back.
Kats Consultants (07:44):
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Chiropractic Consultants your
partner in chiropractic success.
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practice management needs.
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Dr. Michael Perusich (08:12):
Okay.
Welcome back to the KC You cantell I'm pretty jazzed up about
this topic because I think thisis so important.
If we can bring more patientsinto our practice from the
preventative side, We can reallygrow our practices pretty
quickly because people lovechiropractic, they love it.
But people get a little tired ofthe repetitiveness of acute care
(08:34):
sometimes.
And sometimes that makes themwant to drop out of care.
Or we wait to talk to them aboutpreventative care until after
the pain component.
And they want to take a littlebreak for a little while, which
is all fine and all good.
But what if we could bring morepatients in through the
preventative door?
What if not just singlepatients?
What if we're bringing wholefamilies in for preventative
(08:57):
care?
Mom, Dad, the kids because thepreventative care conversation
is so simple.
And because they don't have tocome in as frequently, and I'm
going to talk about frequencyhere in a minute, because they
don't have to come in asfrequently as they do under
acute care, they don't get wornout with it.
And if we do it right, we setthe patients up to really
(09:20):
appreciate the chiropracticadjustment.
Now, what do I mean by that?
The old model of chiropracticwas to have patients on a
cadence of about every four tosix weeks for maintenance care,
right?
That was pretty standard andthat's fine.
How often do we get adjusted?
Every week, twice a week, atleast twice a month, probably.
(09:41):
How often does your staff gettreated?
All of my staff got treated atleast every week.
At least, at a bare minimum.
So why aren't we offering thatto our patients?
We should be talking to ourpatients.
I always told my patients howoften I got adjusted.
I get adjusted once or twice aweek sometimes.
My staff would talk to patientsabout how often they got
(10:03):
adjusted.
Some of my staff would getadjusted two or three times a
week on some occasions.
And patients would always askwhy?
Because I feel better, I'm morefunctional, I can do my
activities, I'm healthier.
All those things that go withpreventative chiropractic care.
I don't get sick as often.
You guys know the story.
I'm preaching to thechiropractors.
(10:25):
Sorry, I had to go there.
But when we're talking about itin our practices more, patients
start listening.
And when we build trustedrelationships with our patients,
they want to do what we tellthem to do.
They want to do what we'redoing.
They find value in it.
And so when we get away from theold chiropractic model, or we
(10:45):
talk about the old chiropracticmodel of every 4 to 6 weeks or
longer worship here in patientsdon't remember how great they
felt after about six weeks orso, right?
I'm sure you guys have noticedthis.
A patient that hasn't been infor a couple of months, for
example, what do they come insaying?
I feel great.
(11:05):
I don't, I'm not sure I evenneed to be here.
No, most of them come in and go,Wow, doc, I'm overdue.
I really need today's treatment.
I should have come in sooner.
You need to listen to that.
Why are we making long termrecommendations when we get
adjusted more often?
Why can't our patients have thatsame?
level of care.
(11:26):
Some of you are probablythinking we'll throw red flags
up to the insurance company.
Remember, most insurance doesn'tpay for maintenance care,
preventative care.
So we shouldn't be billing thepatient's insurance.
So that's out of the picture.
Then we start thinking povertycomplex wise, we start thinking
maybe the patient can't affordit.
Are you their banker?
Are you their financial planner?
(11:46):
No.
Make the recommendation.
If you think they needconsistent care every two weeks,
every three weeks, whatever itmight be, make that
recommendation.
That's important.
That's being a doctor that'susing that doctor authority.
Is it good for the patient tocome in more often?
Yeah, probably and I'm notsaying everybody needs to.
But what if you could get yourpatients to start coming in a
(12:09):
shorter interval than every fourweeks?
What if you could get them tocome in three every three weeks.
Okay, let's do the math.
Every four weeks is what?
It's once a month.
It's 12 times a year, but everythree weeks is 18 times a year.
Now you just created six morepatient visits.
There's more revenue for you.
There's the practice building toIt's cash and we'll save the
(12:34):
cash practice for anotherpodcast or two or three.
But there's the practicebuilding tip right there.
Is it good for the patient?
Yes, it's good for the patientbecause what does that patient
do on a preventative basis, onpreventatively for their health
on a daily basis?
(12:54):
They brush their teeth, right?
That's the simplest one.
And most people brush theirteeth two, three times a day,
right?
Most people brush their teeth atleast once a day.
Or at least you hope they do,and I sometimes use that analogy
with patients, you do brush yourteeth every day, right?
What are you doing for yourspine?
And I'm not saying you have tocome in here every day.
(13:17):
But wouldn't you be better?
Wouldn't your health be better?
Wouldn't your spine be better?
Wouldn't your functionality bebetter if you came in every two
weeks or every three weeks.
So start working on getting yourpatients to come in more often.
Tell that wellness story more.
We want to save preventativecare, wellness care, maintenance
care.
We seem to always want to saveit and coddle it like it's some
(13:41):
secret thing that we can't tellpatients about until they're out
of pain.
Let's bring that to theforefront.
And I promise you when you dothat, your practice will grow
like wildfire.
Because on the preventative sideof the practice, you're not just
scheduling one patient at atime, you're scheduling whole
families.
Trust me.
(14:02):
Sometime when we have time in apodcast, I'll tell you more
about how that works, or we'redoing this for a lot of
chiropractors out there.
We're helping them build thatpreventative side of the
practice, that cash side of thepractice.
They're getting away from theRedundancy of the acute care
plans and having to deal withinsurance.
(14:22):
And that's really more of theproblem is dealing with
insurance and all that happenswith that, with the low
reimbursement and the preauthorizations and all those
things we have to do anymore.
And the onerous of auditshanging over our head.
You build a great cash practiceon the preventative side, and
you'll be shocked.
Patients will love it.
Patients will pay you for it,and it will build your authority
(14:46):
and community engagement in yourtown.
So if you want to talk aboutthis, give us a call.
Go check us out.
Catsconsultants.
com.
Some great free downloads onthere.
Listen and subscribe to ourpodcast.
Please share this.
Our podcast has grown so Fastand so crazy because of you guys
out there listening.
We appreciate the feedback.
(15:07):
And Everybody that writes in andsays, oh my gosh, your podcast
is an absolute game changer Sothank you for those very nice
comments.
But again This is what we do.
We help doctors build strongpractices so that you can have
the life and prosperity that youwant.
And so that your practice canleave a legacy in your name.
(15:29):
So I'm Dr.
Michael Perusich based on behalfof all of us here at cats
consultants.
Thanks for tuning into the KCChiro Pulse podcast.
We appreciate Chiro health USAbeing one of our sponsors as
well, and keep tuning in.
We'll see you next time.