A Strike Against Dependence on "Coupons and Membership Systems" at Osteopathic Clinics and Therapists Yoshida Kikaku Co., Ltd. with 25 years of experience in proposing a pay-as-you-go system makes a proposal.

Consultations regarding "high-cost coupon tickets and membership systems" at osteopathic and chiropractic clinics are on the rise at consumer affairs centers nationwide and on social networking services. Users' anxiety and distrust are not small in the face of refusal to cancel without realizing the benefits, unpaid advance payments following the closure of a clinic by the operator, and so on.

In response to these voices, Yoshida Planning Corporation (Fuchu City, Tokyo), which has supported the management of over 1,000 osteopathic clinics for a total of 25 years since its representative was a member of Funai Research Institute, proposes to society once again the significance of a payment-on-time system based on trust as "a way of management that realizes the threefold benefits for patients, the community, and the business.

Osteopathic Clinic Coupon Ticket Trouble

Background: Increase in Consumer Consultations and Industry Issues

In the consultations related to osteopathic clinics and osteopathic hospitals received by the National Consumer Affairs Center, etc., the following problems have been reported,

The first time I received treatment, I was offered an expensive coupon ticket.

The customer requested to cancel the contract because there was no improvement in his/her condition.

Unable to make an appointment within the expiration date, and the coupon tickets were not used up.

The remaining treatments are no longer available due to the closure of the clinic.

The remaining treatments are no longer available due to the closure of the business (*1).

According to a survey by Teikoku Databank, the number of bankruptcies in the massage industry (including osteopathic and osteoporosis clinics) in the first half of 2025 reached the highest level in the past 20 years (*2).

(*1) From "PIO-NET Consultation Cases" by the National Consumer Affairs Center

(*2) Teikoku Databank, "Survey of Bankruptcy Trends in the Massage Industry," first half of 2025.

■ Structural Challenges Facing the Industry

The number of osteopathic and chiropractic clinic operators has continued to increase over the past decade, and the competitive environment has become increasingly severe.

Rising costs for labor, rent, advertising, etc.

Difficulty in attracting new patients

Under these circumstances, a management style that relies on advance payments (coupons, memberships, etc.) has spread among some operators, resulting in consumer troubles and problems with unpaid advance payments at the time of hospital closure.

Dependence on coupons and memberships has become a social problem.

The problem is not the use of the coupon/membership system itself, but the "operation that undermines trust".

The problem is not with the coupon/membership system itself, but with "operations that undermine trust,

Convenience for patients who wish to schedule their visits

and "reservation slots" for patients who wish to make appointments.

In some cases, there are advantages such as "convenience for patients who wish to make planned visits" and "securing of appointment slots.

The essence of the problem is

In some cases, the problem is that the system is operated to encourage expensive contracts without sufficient explanations.

Unclear cancellation and refund conditions

Excessive reliance on advance payments for cash management.

The essence of the problem lies in the following.

Yoshida Kikaku has consistently advocated the "pay-as-you-go" system for 25 years.

Since our founding, we have focused our support on the "pay-as-you-go" system, which does not rely on the pushy sales of coupons or memberships.

The features of the pay-as-you-go system are as follows

We take responsibility for each treatment and obtain the patient's satisfaction with our techniques and explanations.

Easy to generate natural repeat business and referrals.

Management is built on a healthy cash flow, without relying on advance payments.

Build a long-term relationship of trust with the local community.

Although short-term sales fluctuations are likely to occur, we believe that "farming-style" management based on the trust of patients will lead to long-term, stable prosperity.

Statement of Yoshida Planning Co.

Yoshida Kikaku deeply understands that many osteopathic hospitals and clinics are operated with a sincere desire to "improve the patients in front of them.

On the other hand, we have also realized through numerous on-site supports that there are cases where operations unintentionally undermine the relationship of trust with patients due to the competitive environment and uncertainty about funding.

For a total of 25 years since our representative was a member of Funai Research Institute, we have supported the management of over 1,000 osteopathic clinics and treatment centers based on the pay-as-you-go system.

Based on this experience, we believe that trust is built not by an advance payment, but by the accumulation of each and every treatment and sincere explanation.

In order for the osteopathic clinic and chiropractic clinic industry to continue to be an indispensable presence in the community, it is essential to have a fee structure and explanations that are acceptable to both patients and providers.

Yoshida Kikaku sincerely hopes that this press release will trigger the industry as a whole to take a fresh look at how "management based on trust" should be.

Future Initiatives

We will continue to contribute to the health of the industry through the following activities

1. Dissemination of information for osteopathic clinic operators

Providing know-how on how to promote repeat business and referrals based on a pay-as-you-go system

Sharing of practical examples of sincere fee explanations

2. Disseminate information to those who are considering employment at osteopathic clinics and osteopathic hospitals

Provide information on working at an osteopathic clinic or bodywork clinic and perspectives on selecting a workplace.

(Reference) Our staff blog

For Those Considering Employment at Osteopathic Clinics and Clinics of Osteopathic Medicine

https://www.r358.com/staff_blog/management/906/

3. Conversion support for existing clinics using coupon tickets

Consultation on reviewing fee structure that does not undermine trust (free 30-minute consultation also available)

For details, please refer to the official website:

https://www.r358.com/

Yoshida Kikaku Company Profile

Company name: Yoshida Kikaku Co.

Representative: Takashi Yoshida, President

Location: 5-6-5 Miyanishi-cho, Fuchu-shi, Tokyo 183-0022

Establishment ： January 2008

Business Description:

Management consulting and opening support for osteopathic clinics and treatment centers

Operation of 10 Minnano Mori(R) Osteopathic Clinics

Cooperation with general incorporated association Traffic Accident Medical Information Association, etc.

Achievements: 25 years in the industry (including the time when the representative was a member of Funai Research Institute); over 1,000 clinics supported; 5 books published (total of 45,000 copies)

Official website : https://www.r358.com/

YouTube : https://www.youtube.com/R358com

X (former Twitter): @ito358