Can a selling system work if my practice is heavy on insurance or HMO plans? Yes, with one honest caveat. This kind of systematic, ethical selling works in every practice model I have seen, from offices that are one hundred percent HMO to ones that are one hundred percent fee-for-service. It simply pays off more for patients who sit outside the insurance system. If you are stuck deep in the insurance model right now, the system still helps you in the short term while you build a longer-term plan to attract more patients who are not boxed in by their plan. [...]