This week I debuted my Private Pay Practice Framework at the Therapy Flow summit.

My main argument was: Growth tactics fail when the underlying system (positioning, referrals, visibility, operations) are not set up right.

In other words, doing more SEO won't help you attract clients if they don't understand why you're the obvious choice for them. Here's a short clip of what I mean:

​

But the most important point from the presentation that I want to highlight today, is the difference between insurance and private-pay practice models. These models are fundamentally different from a business perspective, and they operate in a different way too.

While an insurance-based practice must rely on generating a high volume of leads, a private-pay practice needs to filter the clients based on fit.

Each model comes with its own set of tradeoffs. For private-pay, the freedom and independence comes at a cost of larger marketing investments, and longer time to fill your caseload.

So the question is not "What's better, insurance or private-pay?"

But "Am I ready to accept the costs that come with the model I choose?"

Once you understand the tradeoffs clearly, you can stop chasing tactics and start building the right system around the model you actually want.

That’s exactly what the framework I’ve developed is designed to help you do.

So, do you accept the costs?

See you next week,

Avivit

And now to the news!

NOTEWORTHY

Soros Fund Invests in Talkspace

Source: GuruFocus​

Soros Fund Management initiated a position in Talkspace, signaling continued investor interest in virtual mental health platforms and digital behavioral healthcare.

Why it matters: Capital continues flowing into scalable mental health platforms, increasing competition around accessibility, convenience, and speed.

BUSINESS AND PRIVATE PRACTICE

Out-Of-Network Reimbursements

On June 3rd, Mentaya will be hosting a free webinar about navigating the reimbursement conversations about out-of-network reimbursements.

Here are the details:
​Title: Tired of Awkward Money Conversations?
​When: June 3rd, 2026
​Time: 12pm ET

​Register Today to save your spot and get the recording.

Why it matters: Many clients hesitate at the conversation about fees. Reducing confusion around out-of-network reimbursements can lower resistance and improve your conversions into care.

INDUSTRY NEWS

In-Network Virtual Care Is Expanding Quietly

Source: Brown & Brown​

A new analysis highlights how many health plans already include in-network virtual mental health providers without employees fully realizing it.

Why it matters: Virtual care is becoming more embedded inside insurance networks, which may further shape client expectations around convenience, responsiveness, and pricing.