Ep23: Maya Topitzer on group practice insurance negotiation and smarter referrals
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Group practice insurance negotiation is essential for building a profitable, values-driven mental health business. In this episode of Your Group Practice, Dan King talks with Maya Topitzer, CEO of Breksey, to explore the most important factors: targeted marketing that attracts the right-fit clients, strong revenue cycles from intake to reimbursement, and practical strategies for payer contracting and platform choices (Headway/Alma vs. managing your own contracts).
Maya explains why many practices overspend on Google Ads without a clear ideal customer profile, how to craft memorable positioning that generates consistent referrals, and what metrics insurers truly value (access, languages, outcomes). She compares independent practices with large platforms, highlighting the trade-offs involved with contract ownership and long-term enterprise value.
You’ll receive practical advice on transitioning from platform-based panels to direct payer contracts while protecting cash flow, along with strategies for increasing negotiation leverage, such as including high-demand services (e.g., medical management) and using credible walk-away power.
We also explore the post-pandemic shift back to in-person care, the operational impacts on space and scheduling, and how Breksey helps practices capture inquiries within minutes (not days) and match clients to the most suitable clinician, preventing leads from slipping through the cracks.
You’ll learn:
• How to define your ICP and stop wasting ad spend
• What insurers actually care about (and how to show it)
• When platforms help—and when they cap your upside
• A roadmap for transitioning to your own contracts
• How to turn inbound chaos into booked appointments
Get practical tools to negotiate, market, and scale
Transform Your Group Practice
Actionable insights for practice owners and clinicians who want to lead, grow, or exit with purpose. This is the podcast shaping a stronger mental health system — one practice at a time.
- Subscribe and listen to more episodes: https://yourgrouppractice.com/
- Want to be a guest? Reach out: [email protected]
About the Host
Dan King is a lawyer turned private equity founder with a passion for fixing burnout in mental health. With a background in M&A, Shark Tank deals, and psychology, he now leads Fireside Strategic — investing in group practices that put people first.
- LinkedIn: linkedin.com/in/danmking
- Website: firesidestrategic.com
Chapters
1. Ep23: Maya Topitzer on group practice insurance negotiation and smarter referrals (00:00:00)
2. Introduction to Brexie with Maya (00:00:56)
3. Referrals and Common Mistakes (00:02:12)
4. Practical Tips for Marketing (00:03:38)
5. Understanding the Mental Health Industry (00:05:01)
6. Demand for In-Person Care (00:07:20)
7. Working with Platforms like Headway and Alma (00:09:24)
8. Transitioning Between Insurance Contracts (00:12:15)
9. The Future of Pricing and Negotiation (00:15:03)
10. Strategies for Negotiating Insurance Contracts (00:16:30)
11. Brexie's Value for Practice Owners (00:20:47)
12. Personal Interests and Closing Thoughts (00:22:30)
23 episodes