How to Grow Your Private Pay and Elective Care Business

time to grow [Article Series: An excerpt from a forthcoming book by Mark Tager, MD, and Stewart Gandolf, MBA, for private practice physicians and healthcare administrators about reaching, recruiting and retaining private pay and elective care patients.]

The rising tide of consumerism in healthcare is challenging for both the patient and the physician. The patient is now the freshly minted and newly empowered customer. For many providers, this unfamiliar landscape presents a new opportunity to engage with patients.

Upscale patients in particular are inclined to shop for solid value and service. Doctors—disenchanted with declining reimbursements—want to step off the treadmill. Experienced professionals want to use their training to answer a need in the community, and to create an ethical path to a more satisfying and profitable practice.

Building revenue through ancillary services…

The retail/consumer world is familiar to some doctors, and completely virgin territory for others. Ancillary services, products and elective care options, however, are an appealing benefit to the patient in need, and they support the primary activities of the practice.

Successful engagement happens where the needs and interests of people in the marketplace meet up with your training and expertise, the kinds of cases and patients you enjoy, and your special interests.

Determining which elective services to offer within the scope of your practice is entirely up to you. The list might include:

  • Aesthetic services – such as hair, tattoo or birthmark removal, injectables or cosmeceuticals;
  • Medically beneficial but not urgent – such as weight loss, allergies, sleep disorders, pain management or GI disorders;
  • Focused programs – such as women’s health, sports medicine, nutrition guidance or anti-aging.

12 challenge questions to evaluate new opportunities…

  • Is there sufficient market demand for this?
  • What’s the current level of competition? Consider the number of competitors, their skill level and their apparent commitment.
  • Does the opportunity support your business and personal objectives?
  • Do you have (or can acquire) the requisite skills? Delivering new services may require additional clinical, sales, business or other capabilities.
  • What’s the learning curve, and do you have time for it?
  • Who will be doing the actual work? If you need to hire, what skill sets are required?
  • Are you able—and willing—to sell the product or service?
  • What are the capital requirements?
  • How much additional marketing support (and budget) is required?
  • Can you feel comfortable with the risk of a new endeavor?
  • How important is this to you? What is the priority and the timetable?
  • Will this be cash or reimbursable? How does that impact cash flow?

What’s the clear and present need?

When evaluating prospective products or services, consider the consumer’s mindset about “the need.” The nearly universal truth is that people buy pleasure over prevention. “Someday” doesn’t stand a chance against “here and now.”

The consideration of a “clear and present need” isn’t exclusive to health care. All consumers are far more likely to want and buy products or services that answer an immediate need (pain). The psychology of why people buy says that “prevention” or expectation of a future need (or pleasure) is more difficult to sell and often doesn’t pay as well.

Human nature is more responsive to issues of immediate pain versus prevention.

This article continues with the blog post titled: Seven Principles for Success in Growing Your Healthcare Business.

Stewart Gandolf, MBA

Excerpted from The Art of Patient Engagement: How to Grow Your Private Pay & Elective Healthcare Business; Mark J. Tager, MD, Stewart Gandolf, MBA; Publisher: ChangeWell Inc.

About the Authors:
Mark J. Tager, MD, is CEO of San-Diego based ChangeWell Inc. (, a training and consulting company that guides organizations and individuals to higher levels of health and performance. As an author, consultant and entrepreneur, Dr. Tager brings a rich personal and professional background to his work in leadership, organizational development and personal well-being.
Stewart Gandolf, MBA, is CEO and co-founder of Healthcare Success, a national medical industry advertising and Internet marketing agency based in Orange County, CA. An in-demand speaker and consultant, Stewart has written for dozens of leading healthcare publications and has personally consulted for over 2,500 hospitals and medical practices nationwide.
Stewart Gandolf
Chief Executive Officer & Creative Director at Healthcare Success
Over the years Stewart has personally marketed and consulted for over 1,457 healthcare clients, ranging from private practices to multi-billion dollar corporations. Additionally, he has marketed a variety of America’s leading companies, including Citicorp, J. Walter Thompson, Grubb & Ellis, Bally Total Fitness, Wells Fargo and Chase Manhattan. Stewart co-founded our company, and today acts as Chief Executive Officer and Creative Director. He is also a frequent author and speaker on the topic of healthcare marketing. His personal accomplishments are supported by a loving wife and two beautiful daughters.



Your proposal will include:

Competitor Intel Icon
Competitor Intel
Recommendations Icon
Our Pricing Icon
Our Pricing

...and much more!

“Despite practicing in a hyper-competitive market, our new-patient counts are double what they were for the same time period last year. Hiring Healthcare Success was one of the best business decisions I have ever made.”

Headshot of Jonathan Calure
– Jonathan Calure, MD

List of recent conversions