Hi Reader

Four weeks ago I said this month wasn't going to be about starting Telehealth. Most of you have already done that. It was going to be about making the Telehealth you already run actually work harder for you.

We've discussed diagnosing where you can grow, improving the patient experience, and how to maximize your revenue. This week — the last one in the series — is about growth. Not "get more patients" growth. The kind that actually holds once you get it: more states, more providers, more revenue per hour, without breaking what you've already built. If you missed any of the other newsletters, click the link at the bottom of this one.

Here are five things worth knowing before you take that step.

1. Licensure compacts can open up more states than you think. If you've assumed multi-state means a brand-new license in every state, that's not always true anymore. PSYPACT (psychologists), the Nurse Licensure Compact (RNs/APRNs), and the Interstate Medical Licensure Compact (physicians) all exist to streamline exactly this. Worth 30 minutes to check if your discipline and target states qualify.

2. A second provider only helps once your systems don't depend on you. Adding a provider before your workflow is documented just hands them your bottlenecks. The right time to hire is after intake, billing, and follow-up work on paper — independent of you personally running them. Before that, a second provider is usually just more chaos with another name attached.

3. Group visits are one of the most overlooked revenue levers in Telehealth. One practice I worked with added a single group session a week — same team, same hours, no new hires — and revenue per hour on that session beat their average 1:1 hour. Not right for every specialty, but worth piloting if you have patients with similar needs.

4. Referral relationships built for in-person care don't automatically work for virtual-only patients. Most referral pipelines were built around geography — whoever's down the street. Virtual care solves a different problem: access, convenience, specialty reach. If your referral relationships haven't been rebuilt around that, that's worth revisiting before spending on new patient acquisition.

5. Retention is usually cheaper growth than acquisition. A simple check-in message to patients who haven't booked in 30-60 days is often the highest-ROI growth move available, because you're not paying to acquire anyone — you're just reopening a door that's already half open.

That's the series. Diagnosis, patient experience, money, growth. If you've read all four weeks and you already know exactly where your practice needs work, here's the direct version of what I've been hinting at for a month:

I do this work for a living, and I have room for a small number of practices this summer.

Working with me 1-on-1 means we go through your actual setup — not a generic checklist — and fix what's costing you patients and revenue, together, over six sessions. It's normally $5,000. It's 20% off through the end of summer with code SUMMER, and I guarantee it pays for itself in added revenue and time back, or I keep working with you until it does.

If you've been meaning to do something about this all month and haven't yet, this is the week. The discount ends soon, and I'd rather work with a few practices well than take on more than I can actually help.

If you're not ready for that yet, the free 15-minute audit is still open, no pitch attached.

Connect with me on LinkedIn for more Telehealth tips all week long and don't miss next month where we dive into Telehealth on a larger scale for hospitals, health systems, and how smaller providers can get involved, looking forward to it!

Thanks for reading!

— Dan

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Also: Want to go back and look at our previous Telehealth Tips? Click Here​