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5 Predictions for 2010, Part 2

December 28, 2009

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As we finish out 2009, I want to look forward at some possible trends in 2010. Today’s post looks at the last 2 predictions (out of 5 total) I see for next year. To view part 1, click here.

#4. Better Internet Marketing For New Patients

While chiropractors have been using websites for over a decade now, I predict an increase use of the internet to get new patients. This reasons for this are many — increasing use of the internet in general, rising popularity of Facebook and Twitter, Google’s affinity for blogs, and more.

In 2010, it’s likely that the majority of chiropractors will realize that internet marketing is about effectiveness, not the flashy graphics and “pretty websites”. Even in 2009 I noticed many of the website developers were removing their ‘rotating spine’ charts and adding more content instead.

Content really is king with search engines like Google. I have found that we are able to get professional websites with direct response copy up quickly using blog software. Then we ad a few blog posts written from the doctor-to-patient view point, and within days Google is ranking our brand new website in the top 5 spots. We can then keep this doctor there by adding new blog posts over time.

While many chiropractors realize the usefulness of organic or free search engine optimization, most do not yet grasp the potential of pay-per-click marketing (PPC).

Based on this, I also predict that more chiropractors will discover how well Google Adwords can work for new patient marketing. It surprises me that more chiropractors are not taking advantage of this great marketing tool. Many tell me it’s because they’ve tried it and it doesn’t work. However, the problem occurs when doctors send Adword’s “visitors” directly to their homepage on their website. By using condition-specific landing pages, with direct response copy, plus email marketing follow-up, my internet marketing clients are finding this method very successful and will continue to do so into next year.

Admittedly there is a learning curve to Adwords, along with the reward and punishment system Google has built into it.

But in my opinion its well worth the time spent for the return on investment, especially in the long run. Of course for those who don’t want to learn it or don’t have the time, we created ChiroPatients Online specifically for this reason.

#5. Deeper Patient Relationships

Because of what many are calling the New Economy, patients are more careful with their money. Even though we are moving out of the recession and the overall economy will improve in 2010, people are not ready to be back in the 2008-2009 feeling where money was tight.

If you’ve been in practice for long, this really is no surprise. Patients, being human beings like the rest of us, tend to drop out of things over time. Yet I expect this to rise in 2010 as more healthcare opportunites will come into the market combined with more careful spending mentioned above.

Both of these, the careful spending and more competition, means that chiropractors will have to work harder to keep their current patients.

It still surprises me that doctors are willing to spend so much to get a new patient, but scrimp on spending anything to keep them over the long term. Something as simple as mailing a chiropractic newsletter once a month is a bare essential. Holding true patient appreciation events and creating V.I.P. lists will take your practice to an even higher level.

Other great strategies for keeping your patients longer include dinner workshops, patient of the month programs, referral contests, and stick letters.

You can also expect more online patient communication to grow in 2010. The most powerful of these is email marketing, but many chiropractors will also get their facebook and twitter pages up and running.

This concludes my 5 big predictions for 2010. I recommend planning for them sooner rather than later.

Did I miss one you thought was important? Do you have a prediction I didn’t mention? Leave your comments below.

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5 Predictions for 2010, Part 1

December 22, 2009

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As we finish out 2009, I want to look forward at some possible trends in 2010. Today’s post looks at the first 3 predictions I see for next year. While these are things you should think about, I’m not a prophet and could be proven wrong on some of these. So make sure and get a “multitude of counselors” before completely changing your business. They are simply my best guess at what’s going to happen and I’ll be advising my coaching clients in this direction.

1. More Cash Practices.

The number of cash practices will continue to increase. Having run both a cash-only practice and a more mixed practice, I generally stay away from this argument. It seems in the past, most people making the cash-only choice were doing it for purely philosophical reasons, and not for business reasons. My opinion has been that if insurance is good in your area, why not use it. And based on clients and customers I’ve spoken with, that has worked well.

But things are about to change. As I write this, it appears the U.S. government insists on getting its hands into the insurance game. No matter what some of the articles in chiropractic journals might say, this will not end well for chiropractors (or Americans in general). No matter your political standing, you know this will be true.

Here’s why..

Do you currently like the Medicare payments? Well, under this new legislation a proposed $480 billion dollars in cuts to Medicare will be done over 10 years. Do you think chiropractors will be at the top or bottom of those cuts? How well do you enjoy Medicaid in your state? Now even more of your patients will qualify for Medicaid under the new government “health exchanges”.

Because most Americans will have to buy into these exchanges, or pay a $750 fine, more people will have these plans. This likely will not bode well for your practice. I could go one, but have 4 other predictions to cover. You can read a summary of the proposed bill here.

#2. More Focus on Specific Niches

Because of the drastic effects mentioned above, I predict more chiropractors will have to focus on specific niches. This is good because it will allow you to help more motivated patients and you can charge higher case fees.

Niches are subgroups of the overall patient population. Not only will you need to market specifically to them using language they understand and related to (as in the Ultimate Chiropractic Ads), but you’ll need to set up specific treatment plans for them. Examples include spinal decompression, neuropathy, fibromyalgia, migraine headaches, etc. As you can see, some of these niches will require you to purchase additional equipment. But this need not be overly expensive, especially if you look at what other people are doing.

For example, Dr. Hayes showed us how he put together his neuropathy treatment program in the recent webinar we did (replay at http://www.neuropathychiros.com).

It’s better to make these changes now before you have to because of lower income. A practice focusing on and marketing to a few specific niches is the key to having a high-income, low-stress office.

#3. Additional Products and Services.

Predict chiropractic offices will focus on selling additional products and services to their patients. This includes additional products and services the patients is already getting somewhere else. Different types of nutritional supplements that help in healing and weight loss. Physical therapy or rehab services that increase that speed healing.

For the patient, this will will be a benefit since they can get more in one place, and have the doctors recommendation too. The benefit to you of course is increased income and patient satisfaction. The more satisfied they are, the longer they are likely to stay a patient in your office.

Look for Part 2 next Monday, where I’ll discuss the 4th and 5th predictions for 2010.

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Decompression Practice Solutions

November 30, 2009

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triton 300x214 Decompression Practice SolutionsDo you have a decompression table in your practice? If not, are you thinking about getting one?

For years there has been quite a bit of hoopla in chiropractic around spinal decompression machines. Trying to get to the bottom of things is sometimes a difficult task.

First, let’s address a few issues some chiropractors have with decompression.

It’s not uncommon for people to say “that’s not chiropractic, therefore I’m not getting one of those.” Well, this person is correct, spinal decompression is not chiropractic. If you’re goal is to have an adjustment only practice without any instrumentation or electronic device, then you should not get a decompression table.

But for doctors who want an excellent way to help their patients, a spinal decompression machine is the #1 therapy device I recommend. Why do I recommend it so much?

Two reasons…

#1.) It helps herniated/bulging/degenerative disc patients get better in ways that no adjustment can. Some people will argue that their technique can do the same thing. I’ve not researched every chiropractic technique available, but I’ve yet to come across one that can pull on the pelvis of a patient with 80lbs of pressure, alternating between relaxing and pulling every 30-45 seconds for a total of 15 minutes.

#2.) The marketing for this is so much easier to do. No, not because it’s a fancy piece of equipment. Not because it’s a gimmick. But because the people who are suffering from disc problems are desperate for a solution. If you’re faced with a lifetime of shots, dangerous pain pills and/or surgical fusion of your spine, how quickly are you going to try something non-invasive like spinal decompression?

Realize, #2 would be insignificant if decompression didn’t work. Ethically it has to work before you can market that it does.

The Bad News

Unfortunately, some hyped up marketing a few years back really altered what chiropractors thought of spinal decompression. Many doctors thought “true spinal decompression” could only be found in spending $100k on a table. If you thought this, then the only 2 choices were to either send a house payment every month for this table or not pursue decompression in your practice because it was out of your price range.

Then, more hyped up marketing (in the form of patient advertising) entered the picture and state boards got involved in banning certain types of marketing. Some states even looked for ways to prevent chiropractors from using spinal decompression, saying it wasn’t in their scope of practice.

I realized that there had to be another way to do this whole decompression thing. One marketing guru couldn’t have cornered the market on spinal decompression in chiropractic.

After a bit of research, I found quite a few manufacturers that make good decompression tables. Of course, then I had to prove to myself that these tables did actually do decompression, since I had been brainwashed as well into thinking only one table was “TRUE DECOMPRESSION.” ( Turns out there all classified by the FDA as traction tables anyway icon smile Decompression Practice Solutions

I won’t go into the details, but most tables that claim decompression actually do decompression. It’s just a matter of how easy it is to use and how nice it looks. Arguments against this are just an old marketing technique (which is sometimes valid, but not here), where you try to get everyone to think your product is the only “real” table that does decompression, and the rest just do traction. You probably heard of this, often times called the unique selling proposition.

The funny thing is, years later, very few people who bought a DRX table will argue that Chattanooga, Saunders, Lordex, (and all the hundreds of other manufacturers) are not doing decompression. Five years ago, ‘them was fightin words’. I even remember threats of lawsuits being thrown around and patenting the words “spinal decompression.”

For $8-10k I could get a table and start helping patients get better. Combined with chiropractic adjustments and other strength building therapies, I saw some amazing results. Not to mention my average case values went up considerably.

Was decompression just a fad, one that has died out?

Well, the $100k tables probably don’t sell like they used to. But spinal decompression is alive and well.

Do you think there will be more or less patients with herniated discs in 2010? How about in 5 years from now? Decompression is not a fad because spinal disc problems are not a fad.

Important: Marketing Is Key

Don’t do like many chiropractors I speak with have done. Don’t spend a ton on a table, and forget to market the thing. You’ve got to market it for what it does, otherwise it’s just an overpriced traction table sitting in your office collecting dust.

This is why I wrote the decompression ads in The Ultimate Chiropractic Ads. It was difficult to find ethical marketing that wasn’t hyped up, so I learned to write my own. And they have done extremely well.

If you don’t have a table yet, don’t wait. Start getting quotes now as the new year is right around the corner. Be ready to hit your decompression marketing strong in January.

If you already have a table, make sure you’re planning the first quarter of 2010 with some strong marketing.

Watch a free webinar where I cover my Area Exclusive decompression marketing program here:

http://www.decompressionmarketingelite.com

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