Creating Multiple Revenue Streams
You didn’t go independent just to swap one job for another. You did it for flexibility. For impact. Maybe even for freedom. But if your entire business model depends on one source of income, you’re building on sand.
Let’s talk about creating multiple revenue streams. Not because it sounds impressive, but because it gives your practice breathing room. It makes you more resilient when payers play games (if you have an FFS based practice). It gives you options when you want to expand. And it creates a stronger, more sustainable business without burning you (or your team) out.
This isn’t about turning your clinic into a retail store or stacking services until your schedule breaks. It’s about being intentional. Adding the right revenue streams for your patient population, your scope of practice, and your long-term goals.
Start with what you do really well
You don’t need to reinvent the wheel. You just need to ask: what am I already doing that could be packaged differently, priced differently, or offered more intentionally? A few to consider:
Cash-pay services – Not every patient wants to fight with insurance. If you offer procedures, injections, or screenings that aren’t reimbursed, consider a transparent, competitive cash-pay option. This works especially well for things like sports physicals, aesthetics, travel medicine consults, or wellness labs.
Membership or subscription models – If you’re leaning into direct care (DPC, DSC, concierge, or hybrid), this can be a game-changer. Monthly fees mean predictable revenue, deeper patient relationships, and less chasing claims. This model works best when paired with a strong communication strategy and clear scope of included services. Also, it’s helpful to plug in the right experts as you’re structuring these programs.
Remote patient monitoring & chronic care management – If you’re serving patients with ongoing conditions, Medicare may actually pay you to check in on them between visits. Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Principal Care Management (PCM) can add steady monthly revenue, if you have the right tech and workflows in place. It’s about getting reimbursed for that awesome care you’re providing between visits.
Retail or in-office product sales – Think supplements, skincare, braces, home-use devices, etc., but only if it aligns with your clinical expertise. This isn’t about upselling. It’s about convenience and trust. If your patients are going to buy a product anyway, they’d rather get it from someone they trust.
Consulting or community education – You’ve built something. People want to learn from you. That might look like plugging into a start-up, teaching other clinicians, hosting workshops, partnering with local employers, or offering second opinions.
Telehealth or after-hours access – With the right structure, virtual visits can serve new patient populations, reduce overhead, and create billable touchpoints that don’t add strain to your brick-and-mortar schedule.
Here’s the Caveat:
Every new revenue stream comes with new systems. New billing codes. New workflows. New staff training. So don’t add five things at once and hope something sticks. Choose one. Pilot it. Get the workflow tight. Measure the impact. Then build from there.
Wrapping up
The goal here isn’t to work more. It’s to earn smarter. To build a business that can weather delays in claims, unexpected staff changes, or a sudden pivot in payer policy. Because when your revenue doesn’t all come from one spigot, you’re in control.
Need help figuring out which stream to start with—or how to actually make it operational? That’s what we do. Let’s build something sustainable.
Disclaimer: The content provided herein is intended for educational purposes only and does not constitute financial or legal advice. This content is not intended to create, and receipt of the launch guide does not constitute, an attorney-client relationship. While efforts have been made to ensure the accuracy of the information presented, it may not necessarily reflect the most current legal developments or regulations and does not provide a complete representation of all associated legal and compliance considerations for any given topic. Therefore, readers are encouraged to seek professional legal advice or consult with appropriate professionals regarding specific legal issues or concerns related to their individual circumstances.