Break Free From Insurance. Build a Profitable Cash-Pay Practice Patients Value.

Insurance reimbursements shrink every year. The practices that thrive are the ones that take control. Foster Consulting shows you how to create predictable revenue, happier patients, and sustainable growth — without depending on insurance.

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Every doctor knows the problem. Each year, insurance cuts deeper into your margins while your staff spends endless hours fighting coding, claims, and denials. Cash flow becomes unpredictable, and growth starts to feel impossible without adding more stress and burnout to your already full plate.

The truth is simple: the insurance system was never designed to help your practice succeed. But you don’t have to stay stuck in it. You can build a practice that puts you back in control — one that generates predictable revenue, reduces administrative chaos, and allows you to deliver care on your terms.

Why Practices Are Moving to Cash-Pay Models
More and more doctors are making the shift to direct-care, cash-pay practices — and here’s why:

Predictable Revenue

No more waiting months for reimbursements

Less Admin Stress

Free your team from coding and paperwork

Happier Patients

People gladly invest when they see the value

More Control

You set your fees and how you deliver care

How Foster Consulting Makes It Happen

We don’t just “do marketing.” We partner with you to transform your practice using our Perfect Practice System©, a proven framework designed for doctors ready to grow on their terms.

Here’s how we help you succeed:

Map Your Growth Phase

The first step is clarity. Are you in Foundation, Momentum, Prestige, or Perfect Practice? By identifying your current phase, we can pinpoint what’s holding you back and what it will take to move forward. This isn’t guesswork — it’s a proven framework that shows you exactly where you are in your growth journey and the path to get where you want to go.

Build Your Strategy

Once we know your phase, we design a strategy that puts you back in control. That might mean gradually reducing your reliance on insurance or making a full transition to cash-pay. Either way, we show you how to protect your revenue, stabilize your cash flow, and build a business model that isn’t dictated by shrinking reimbursements.

Establish Value

Patients will pay out of pocket when they see the value. We help you position your practice so that value is crystal clear — from your website and marketing to your patient experience and reputation. Instead of feeling like they’re “losing” insurance coverage, patients feel confident, empowered, and excited to invest in the care they deserve.

Align Efforts

The best strategy only works if your team knows how to execute it. That’s why we align your team’s efforts — from referral relationships and community outreach to athletic partnerships and fun, engaging social media — with the systems we build for you. This ensures every touchpoint works together, driving measurable results and building unstoppable momentum.

I highly recommend Foster Web. The training and insights are extremely helpful, and Jessica and team are fabulous! Customer support is also top-notch - responsive & knowledgeable!
Coastal Podiatry Associates

The best in the game! Love the Foster team and it has been a game changer for my practice in NYC. Connie is the best!!!!!!!
Central Park Sole

I have been working with FWM for 1 year, and have had a fantastic experience with them. They are always available for any issues I may have, and guide me through them. Jessica is extremely knowledgeable with DSS and adding content, and her help is invaluable as a marketing coach. I have also worked with Toby on IT, and even though his the head of IT, he is always available, taking his time to figure out a solution and teaching me at the same time. They are both amazing! Thank you for helping me shine.
Zoe Ramos, DPM