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Alisha Ponce, PT, DPT, OCS, FAAOMPT And after spending over 9 years of working within a traditional physical therapy model, I too became frustrated with not having the opportunity of being able to treat my patients one-on-one and giving them my undivided attention and most specialized care. I always thought to myself, there has to be a BETTER way. Fortunately, the realm of physical therapy continues to adapt to the needs and desires of clients and clinicians alike! Introducing, the cash-based physical therapy model. Cash-based, meaning we do not accept insurance and work exclusively on a private pay basis, can improve access to physical therapy services by removing restrictions placed by third-party payers. On occasion, insurance companies may require authorization prior to a physical therapy evaluation or require authorization before services can be rendered, and restrict your care by providing a visit limit or a therapy cap. 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