Episode 55 | [Coaching] How to Reduce Your Caseload as a Group Owner Without Losing Income

Episode 50: [Tip of the Day] Who are Your Rockstars & Superstars?

Hey Group Practice listeners! In this episode, I’m talking with Kate Fish all about reducing clinical caseloads without losing income!

In this episode we cover:
1. How to manage the financial aspect when decreasing your caseload
2. Trusting your business to stay stable during the shift
3. Managing the fear of your worst-case-scenario
4. The logistics of not seeing any more clients & setting a weekly hour cap

This episode is sponsored by TherapyNotes. TherapyNotes is an EHR software that helps behavioral health professionals manage their practice with confidence and efficiency. I use TherapyNotes in my own group practice and love its amazing support team, billing features, and scheduling capabilities. It serves us well as a large group practice owner.

therapy notes*Need a good EHR for your group practice? TherapyNotes is it. I’ve been using it for years in my own group practice, and it does really well when it comes to having the features group practice owners need. Try it out for FREE for 2 months by clicking here.

*  I am an affiliate for some of the businesses I recommend. These are companies that I use in my own group practice, and make recommendations based off of my experience with them. When you use some of these companies through my links, I receive compensation, which helps me continue to offer great free information on my podcast, blog, Facebook group, and website.

Maureen Werrbach is a psychotherapist, group practice owner and group practice coach. Learn more about her coaching services here:

* The content of this post is intended to serve as general advice and information. It is not to be taken as legal advice and may not account for all rules and regulations in every jurisdiction. For legal advice, please contact an attorney.

2019-12-06T15:56:10+00:00 By |4 Comments


  1. Judith M. Levy February 15, 2019 at 12:10 pm - Reply

    Do you accept insurance? If you do and the insurance pays approximately $75 per session, can you find clinicians who will accept 50% of that, or $37.50 per session?

    Thank you,
    Judy Levy, LCSW-C

    • The Group Practice Exchange March 8, 2019 at 1:12 pm - Reply

      We do accept insurance but our average insurance reimbursement is over $100/session. There are some geographic areas where insurance pays less and practices are able to find clinicians who are open to that $37 payment. They often offer other benenfits, both compensation benefits and culture benefits on top of that.

  2. Judith M. Levy February 15, 2019 at 12:17 pm - Reply

    Is there an advantage to hiring an independent contractor versus a W-2 employee?

    • The Group Practice Exchange March 8, 2019 at 1:13 pm - Reply

      Please talk to an attorney about what is the best fit. Each state has different laws on the use of ICs. I have employees because I like the flexibility in being able to control certain aspects of their work and prefer to be on the safe side of the law. IC status is becoming consistently harder to justify in our industry, an example is the recent California law making it pretty much impossible.

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