Marketing that works too well can hurt a DPC practice. When the panel gets too big, replies can slow down, same-day visits can disappear and members can start leaving. Know your limit, watch the warning signs, and slow down before your members notice.
Warning signs
- Text replies take noticeably longer.
- Same-day visits are hard to find.
- You're working evenings to keep up with messages.
- Cancellations mention access. Exit surveys.
What to pause
- Paid ads and mailings.
- Promotions and waived fees.
- New employer groups, unless you can serve them.
What to keep
- Your Google profile, reviews and website.
- Referrals.
- Follow-up with people who asked, now pointed to a waitlist. Running a waitlist.
Then decide: hold or grow
You can hold the panel steady and keep a waitlist, or add capacity with staff or a second provider. Do you have to keep growing? and Can you afford a second provider?
In a made-up example, you set a limit of 600, reach 570 and have 80 on a waitlist. Revenue from the waitlist would cover much of a second provider's cost in the first year. Run the numbers before you decide.
What I'd do this week
- Write down your panel limit.
- Check your average text reply time this month.
- List the paid efforts you'd pause first.
Common questions
What's a typical panel limit?
It varies with your hours, staff and patient mix. Set your own based on how well you serve members today.
Should I raise prices instead of pausing growth?
It's one option. Model it carefully first.
How do I restart marketing later?
Start with your waitlist, then referrals, then paid efforts.
Want to see if a second provider pays?
We reconcile every account every month and send your P&L and Balance Sheet by the 15th, so you can see what each new member is worth and what it cost to get them. If that's what you need, apply to work with us.