Why Insurance-Only Practices are Dying (and what to do about it)
In this Practice Builders Podcast episode Dr. Vince Leone and Dr. Kyle Pankinen examine why chiropractic clinics that rely solely on insurance reimbursements are becoming unsustainable. They explain that insurance fee schedules have been flat for decades, barely keeping up with inflation, forcing doctors to chase volume to maintain income. This high‑volume, low‑fee model creates a "negative flywheel" that leads to practitioner burnout, staff turnover, and a degraded patient experience. The hosts detail the administrative burdens of insurance—pre‑authorizations, audits, delayed or denied payments, and limited control over treatment protocols. They calculate that a practice would need roughly 100 new patients a month at $1,000 each to hit $100k revenue, a target most clinics cannot meet. To break the cycle they advocate transitioning to cash‑based services, especially spinal decompression, which can generate $4‑6k per case. They outline a step‑by‑step transition: analyze and drop low‑value insurers, keep the profitable ones, select a single high‑margin niche, acquire the necessary equipment and training, integrate the service into existing patient flow, and market it effectively. Real‑world examples (Dr. Smith, Dr. Kyle’s record‑setting $30k day) illustrate the financial upside and renewed professional enthusiasm. The conversation also warns against going fully cash‑only unless a practitioner has a “rock‑star” personality, recommending a hybrid model that blends remaining insurance work with cash services. Finally, they stress the importance of mindset—regaining control over revenue restores confidence, reduces fear, and positions the practice for long‑term growth and higher valuation.
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Hey there, and welcome back. I'm Dr. Vince Leone, executive producer and co-host of the Practice Builders Podcast. With my partner in crime, Dr. Kyle Pankinen, we deliver proven strategies to help you grow fast, specialize with confidence, and build profitable staff-run practices. Let's go ahead and dive into today's episode now. Hello and welcome to the Practice Builders Podcast. My name is Dr. Vince Leone.
And I am Dr. Kyle Pankinen. We are happy to be with you today. Happy you're gonna— you're joining us and listening. Uh, we so much appreciate our audience. We get a lot of great feedback, and today's topic I think will resonate with many docs.
100%. Our title is Why Insurance-Only Chiropractic Practices Are Dying, um, and will cont— you know, will struggle in the years ahead. So our goal with this podcast is to first create awareness Right? And in terms of like why we are saying this, why we are, what we are seeing, and then what the model is, and then that we recommend moving into, and then what the action steps that you can take, those tactical action steps to protect yourself, protect yourself, protect your family, protect your practice, protect your team members in the years ahead, because As far as I know, insurance is not getting better. You know, it's— if anything, it's getting worse. They're making us jump through more and more hoops. And so let's just go ahead and dive into this, Dr. Kyle. Um, reimbursement— what are you seeing there? You're— I'm obviously not in practice, you know, um, I'm full-time coaching and consulting, but you're in the trenches What are you seeing on the reimbursement front?
Well, April began my 26th year in clinical practice, and the fee schedule for most insurers, if I look back what I was getting paid on April 3rd, 2000, when I started practice till now, it's barely moved at all. It's, it's, they'll give you a 50-cent raise here or there on a certain code, uh, periodically. But generally speaking, it's— we're talking minimal changes over that time. Some companies have actually cut reimbursement a little bit over that time, but generally speaking, it's a wash. So if you're looking at, you know, what's inflation now, 2-3%, but, you know, not too long ago it was 7-8%.
9%.
If, if you're just looking at that mark alone, you're not even keeping up with inflation in terms of insurance reimbursement going up. And then what happens to our overhead? Most of us every year, it goes up.
Mm-hmm.
And so reimbursement through insurance is simply flatlined at best.
Yeah, so what happens is doctors try to make it up through volume, right? And so you're doing more, uh, and essentially making the same amount of money. Um, and what the problem with the volume— I've always, I've said this from the very beginning when I first started coaching— is the traditional model, in my opinion, for chiropractic is broken. So it's high volume, low fee, heavy insurance. So what that does is it creates a negative flywheel. In other words, the more people you put through the practice does not make the whole process better. It actually makes it worse. It's harder on your body. The patients get a worse experience, right? Because you're having to compress the amount of time you're with each patient. Now, I'm not saying, hey, you should be spending 20 minutes with a patient. That's not what I'm saying. But to get as much— wring as much out of insurance as possible, you're having to get more and more people through the door in as little time as possible. It just makes it tough, right? It leads to burnout. It leads to a feeling of being on a hamster wheel. Your staff is wanting to be paid, you know, concurrent with inflation changes. Um, you're probably wanting to pay yourself a little bit more, but you're not getting paid more to do the work, right? So insurance is dictating care. Um, and now you have, you know, like pre-authorization. Now all of a sudden they're telling you, you know, when you can treat, how much you can treat, and, uh, it just It's like they just turn it on its head. It's like, why is the doctor not leading the patient, uh, you know, care program, right? So, um, those are all the challenges that we're seeing. Um, what, what else on that front do you see, Dr. Kyle, in your practice?
Well, the insurance, it's, it's a big game. It's a big game. So they, they will do things like give you little audits periodically. They'll delay payments, they'll deny payments, they'll do sneaky little policy changes, and it's all meant to keep the money in their coffers as long as they possibly can keep it there and make you work harder and harder and harder to get your pennies on the dollar. And it breeds frustration for your bottom line, it breeds frustration for If you have somebody in your office that does the insurance billing and stuff, they're on the phone a lot, they're doing remittances a lot, they're trying to figure out why did this one get denied and this one get paid. And, uh, and that's why a lot of clinics finally just outsource their insurance billing so they don't have to deal with it. But even still, everybody I talk to that does outside billing, third-party billing, Uh, with a billing agency, they say, ah, it's, it's okay, but it's, it's never as good as they want it to be.
Mm-hmm.
It's still— it's not a perfect solution by any means. And then the final thing in this category is just simply when you are being in essence run by the insurance companies as far as what they're paying you, how many visits you can have, capping you, playing their games, You basically don't have much control over your destiny. The only thing you can control, like, Doctor, you said, is, is your volume. And that's what I used to, early in my practice, think. I just gotta keep doing more every year. We gotta grow more chiropractic patients, do more and more. And you're busting your butt, but your bottom line is like, goodness sakes, for as hard as I worked, I really didn't get anywhere. So your revenue is controlled And in many ways it's almost fixed because you can't do enough volume to make up for the low insurance reimbursement. It just— at the end of the day, I did it. It just doesn't— it just doesn't figure out when you have somebody coming out of school with enormous student loans. You got to have equipment, you got to buy that. You need operating capital, startup, things like that. And It just, it just, you're beating your head against the door. It just doesn't work.
Yeah, 100%. And so if you, you know, if you think about it, like, if your average chiropractic patient, uh, last I saw the data, is about $700, maybe $1,000 per case, right? Um, and that's, those, those are the patients that they come see you once or twice, blended with the patients that, you know, a PVA of you know, $20,000, $30,000, $40,000, something like that, right? So, uh, so if you think— let's be generous, right? So call it $1,000. Well, if you want to do $100,000 a month, you'd need 100 new patients.
Yep.
Now, who in the world generates 100 new patients a month consistently, month over month, and doesn't get burnt out, right? Doesn't have, you know, just the, the patient mill. Um, now, are there practices out there doing it? Yes. Yes, there is, but they are 100% the exception, not the norm. And most doctors struggle with new patients, right? Most doctors struggle just getting 20 new patients a month. And so it's, I think, a broken model. And so let's talk about, you know, our vision. What is the model to transition into? And of course, it comes to cash-based services. Right, Dr. Kyle. I mean, isn't this the saving grace? I remember when we met first in 2020, um, you know, you're at that kind of 50-ish a month, something like that, and you were working your tail off and you had a good-sized team, I think 5 or 7, you know, team members, something of that nature. And, um, you were frustrated, you know, and you were feeling it physically. And, um, that's when we really leaned into the niches.
That's when we leaned in the niches. It took me— I'm a little slow learner, as I say.
No, you're not.
And, uh, the first 14 years of practice, I, I just— I did everything I could to increase volume. And, and historically, looking at national averages of what chiropractors do for volume, the average doc, I was, I was well above it. So I thought, you know, I'm doing pretty good. But when I look at my bottom line, I'm like, good night, I'm getting nowhere. So after about 14 years of doing that, I decided, you know what, there's gotta be a better way. And that's when I started exploring the avenue of adding cash-based services. Fast forward, of course, got in touch with you in 2020. And since that time, we started at $4,850. That was heavily insurance dependent. Now, fast forward to now, I think I'm gonna have a record April this year, and it'll be pushing about $120,000. And almost, almost, almost all, yeah, almost all of that growth is cash-based services.
By the way, on our coaching call yesterday, Dr. Vinny did $30,000 on Tuesday.
What in the world? How is that even possible?
I was like, boom, I love it. So, look, if you've been listening to this podcast, you know we love cash-based services. And so, this is the model. Now, we'll talk about the action items in terms of how to actually— if you're, you know, been in practice for 20 years or 10 years or 30 years and you're heavy insurance, there is a way out. But cash-based services is just more elegant. In other words, I always said, hey, 'Cause I came into chiropractic, it was a second career, right? I started out in, of all things, the film industry, right? I was working for Ron Howard and Quentin Tarantino. So, and what I knew, what they always said, hey, if there aren't butts in the seats, I don't get to keep playing the game, right? So, marketing was a big component. So, I leaned into marketing. But then I saw also what 40 years at that time of practice did to my dad in terms of his spine and his, you know, just you know, general pain level on a daily basis. Um, and he's a very healthy individual. Point being is it just— it looked backwards to me because I was like, well, look, if you are super successful in this model, is that a good outcome ultimately for the doctor? Not really, right? You'd beat the heck out of your body. Um, you know, anyways, point being, so we trended towards lower volume, high fee, all cash. Now, we did do a little insurance still, don't get me wrong, but that is the general modus operandi. Lower volume, higher fee, right? So our average case fees are anywhere from $4,000 to $6,000, majority cash, right? So cash-based services. Of course, we love decompression and we always feel like that's the best first niche for chiropractors. In fact, I just wrote this, How to Choose a Spinal Decompression Table, just launched this report. And so I don't even know what the URL is, but maybe we'll put a link in the show notes. But, it's very simple, analyzes the top 5 decompression tables at price points, the pros and cons, and all that type of stuff. But, decompression is, in our opinion, it's the best first niche versus things like weight loss, knee pain, neuropathy, Functional medicine. There's nothing wrong with any of those niches. It's just that if you are in a traditional chiropractic-based insurance model now and you're not doing any other cash services, the, the first one that we recommend is spinal decompression.
Yep. And that's the— we recommend that. One other point of that is just because those people are already in your door docs. You already got chronic neck and back cases in your Practice, they're coming to you, but many of them need something above and beyond the chiropractic care you're providing. You can transition a lot of those people into decompression care plans. And, uh, think of it this way: what you're doing is you're replacing some of that volume that you're, you're shooting for. And instead, what if you could, instead of treating 30 low-value chiropractic patients— not that the person themselves are low value, but the reimbursement is low value. What if you could replace that with 5 each month, 5 brand new good decompression cases valued at $3,000 to $6,000 each? Well, that's, that's a game changer.
Yeah, if it was just, say, say it's $4,000 just to keep the numbers easy. 5 new patients starts right at $4,000. That's $20,000, right? So if you're doing $30,000, $40,000 a month, maybe $50,000 a month, and you're doing 20 to 30 new patients, it's very easy, not only from your new patient flow but your past patients as well, right? People that didn't know that you offered spinal decompression, and now all of a sudden, boom, $20,000 a month. That's— that can be life-changing for a lot of doctors. Life-changing. That's a quarter million per year just by adding one new service. That's the, that's the power of decompression. And it's not the table, right? It's the system, right? There is a way to do it properly, but we're just outlining what the vision is here for you. And one thing that you had mentioned, Dr. Kyle— control. When, when we outsource control, when our, like, revenue, our paycheck, our salary, our, uh, you know, income for the year is dictated by someone else, i.e., the insurance companies, and we don't at at least kind of, you know, create a separate revenue stream. That lack of control, it has an insidious effect on you. It creates a sense of, you know, I don't know, it could be overwhelm, it could be lack of confidence, it could be frustration, it could be fear. When you don't have control about, you know, in terms of how much you make on a monthly basis, It just, it's not a good feeling. It doesn't put you in the best kind of mental mindset for growth and for innovation and for taking your practice to the next level.
Yeah, it breeds in a sense fear and hopelessness. Yeah, there you go.
Yeah.
It just, hopelessness is how I would describe it. And the mindset you gotta think about, docs, here is, In reimbursement, we think, well, what if I switched and I offer decompression? Are patients really going to pay for that? They've been so used to being, my clinic, dependent on insurance, and insurance has been dictating what services you're doing or what treat— or what treatments they'll, they'll take. What you're looking for with a decompression model is you're providing an outcome.
Hmm.
You're providing an outcome. You're providing an 85 to 90% chance that they're gonna get a desired outcome with a challenging, chronic, tough problem. And when you're going after an outcome, patients will pay for an outcome, and they'll drop 3 or 4 or 5 or 6 grand, sometimes right up front.
Mm.
If they think this doc has a great chance With this protocol. This is my guy or my gal, and we're going to go after this outcome. They'll pay for that because their condition is so much affecting their life. So therefore, it puts you back more in charge, and you can set the fee versus the insurance company setting the fee. And for a lot of our doctors that are doing that, it's such a liberating experience. It's literally life-changing for them, and they're like, ah, kind of like I was several years ago. Why didn't I think of this many, many years ago? Why didn't I implement this my first year of practice versus starting my 14th year of practice?
That's so true in, in terms of that liberation. Uh, we have a client, Dr. Smith, Dr. Scott Smith, wonderful client in Oceanside, California. And I'm not going to talk about what his numbers were, but he was heavy into HMO, which were paying him peanuts. And he was very concerned about getting out of HMOs and going into cash services. But he took the leap and it was not something that he did lightly. You know, it was a, you know, put it— took a lot of time, effort, and energy to make the decision. But the point being is now he's completely out of HMOs. And it still does some insurance again, but now a lot of cash services— decompression, shockwave, laser therapy— and he is rejuvenated in practice. I mean, he, after 30 years, he's like, I'm having more fun than I've ever had in practice. And that is such a cool thing to see. So let's talk about some action items of doctors out there. They've been in practice for a long time. They're heavy, heavy, heavy insurance, or maybe they're all insurance. Um, What are some action items? What would be the first action item you would kind of put on the recommendation list there, Dr. Kyle? Hey there, it's Dr. Vince, and if you're getting value from this episode, please make sure to hit that subscribe button so you never miss an episode. And if you know another doc who's ready to grow their practice, share this with them. It might be exactly what they need right now. Thank you in advance, and now back to the show.
Yeah, so if you're thinking about adding cash-based services You want to do it in such a way that you don't just, okay, tomorrow, honey, I'm gonna go to the office and we're gonna cancel all of our insurance policy, all of our coverage, we're going all cash. You're not a— Not a good strategy. You're gonna lose probably 60, 70% of your patients just like that, okay? And, uh, you're gonna grow gray hairs in a hurry. So that's not what we're saying here. We are saying you want to transition into that.
Yeah.
And then you want to— what you want to add— start, pick out something, a niche, a cash-based service that you want to start to implement. As we've said already, probably the best for most chiropractors is going to be decompression. So you're going to have to research table. You're going to have to find, uh, look at protocols. You're going to have to get some, maybe a little training on how to examine for these disc cases and, and marketing type things. So that's where some of the training that we do comes into play, that you can, you can cut to the chase in a sense and, and get the training of somebody that's been there, done that. So that you don't have to reinvent the wheel yourself. And then the next transition, you can go into that. What would you do with insurance then, Dr. Leone? We said don't drop it all right away, but over time, what would you recommend they do?
Yeah, I recommend taking a look at all your insurance plans. And, and there, I think there's most, most doctors will know, oh God, I hate X insurance company. For us, it was United. Um, they were In Washington State, they were going into the pre-auth early. They weren't paying us, you know, they're paying us peanuts anyways. So what we did is looked at all our insurance companies that we were networked with and, and just the worst ones, we just, we opted out, right? And we, but we kept the good ones, right? There's, there's a lot of good insurances, you know, with some of the bigger companies in the, in the Northwest here. So we kept those. And, but we just did a quick analysis. It wasn't very hard. We pretty much all knew which insurances were, were not very good. And then we just went out of them and we put a notice at the front of the desk that, hey, we are no longer in network with XYZ insurance company. And, and that was that, you know. Did we lose some patients? Yes. Did we care? I mean, we didn't like losing patients, but we knew it was a decision that we had to make. for the health of the practice. And so, that would be the first thing I would do is just do an analysis on which insurance companies you are in network with, which ones are the problematic ones, and then consider moving out of those, keeping the good ones. And then, then the next step, as you said, is pick one niche. Sometimes doctors get really excited. They go, "Oh, I want to do this niche and that niche." It's like, hold, hold on. One at a time, and master that. And you may not need to do any more, right? You don't necessarily want to add a lot more complexity to your practice. What you want to do, and now Jay Abraham, who you know is called the billionaire marketing man, he said the easiest way to add revenue to any business or service is to or sorry to any business or practice. is to add one additional service and offer it to your existing patient or customer base. And so that's all we're doing. If, you know, the data shows there's about 100 million people in the US that suffer from neck and back pain, and about 10% are due to a chronic neck or back pain issue. So of all your new patient flow, you have 10% that are going to be a disc or something That decompression could treat. And then now you look into all your past patient base. Well, same thing there, 10%. And so there's a lot of people that would— you'd be able to help with this particular service if you chose spinal decompression. And that's where we always start, right? With the current new patient flow, patient-centered care, past patient base. But again, it's— Just please don't make the mistake of buying a table and hiring a marketing agency. I'm so tired of seeing that. A decompression table is not a service. It is a— it is one piece. What you need is the system so that you can evaluate patient— patients properly, be able to communicate it properly, have the clinical skill sets, have the clinical protocols, have the marketing, right? That's what creates that additional $10,000, $20,000, $50,000 a month.
Yeah, it'll take you a little time to obviously build this niche up, and you got to work on all those things that were mentioned there and gradually build your skills so that you become really good in that niche or that cash-based service. So in essence, where you're going to likely end up is, as Dr. Leone said, you'll probably get rid of a few of the bad actors in the world of insurance. You'll gradually build up a niche or a cash-based service. And eventually you'll end up with a hybrid model, in essence, where you will have some of your classic just chiropractic patients, insurance-based stuff, adjustments, physiotherapy, things like that. But then you're going to have this side stream that's all cash. That's going to be decompression, laser, shockwave, or other things of that nature. And you will be pleasantly surprised and maybe even amazed how many people are willing to pay for those services, and then how sometimes quite quickly we see doctors increase their bottom line. I mean, like what he was saying just a little about Dr. Cornejo, $30,000 in one day. I mean, that's like, wow. But that's—
That's a new record at Specialized Practice, by the way. So the last one was $25,000. $22,000 or $24,000. I can't remember. It was something around there. So he has the new record for the daily collection.
I don't think that one's going to get broke for a while.
And this is cash. This is not getting a PI check, by the way. So this is, this is a, you know, people writing a check or swiping the card, you know, in one single day. So yeah, he gets the record on that right now. And you're right. I don't think that's going to be broken anytime soon. But Uh, here's— now some doctors may be thinking, well, I have heard of doctors going all cash, should I do that? Um, we typically don't recommend that, and here's why. If you're gonna go all cash, um, you better be kind of a rock star, right? And you know, there's some personalities in chiropractic. Um, my dad was one of them, where he'll go to a restaurant for lunch and he'll walk out with a patient or 2. Um, you know, there's like Dr. Zaino, massive practice, just really big personality. Um, so you bet if you're gonna go all— like Dr. Jeff Abrams, another big personality, great personality, um, on fire. He's all cash and he's crushing it. Um, if you— and you know if you are or you're not. I was not. Okay. Um, so if you, if you're questioning it, then you're not. And, and that's not That's okay, right? Probably 1% of the profession falls into this category of this kind of like rockstar type of individual.
Yeah.
If you're not that personality, I would recommend do not go all cash. If you're going all cash, it's a tougher road. It is 100% a tougher road, 'cause if you offer insurance, well then even if the insurance companies don't cover like decompression or laser or shockwave or whatever, you know, the services you're using, they do cover the x-rays, the exams, right? If you're doing chiro into your plans, then they're going to cover that most likely. If you're doing some rehab, they're going to cover that most likely. So you can blend it, right? And so if someone calls on the phone, say, hey, do you take insurance? Yes, we do. You know, um, and so that's just kind of a little caveat, um, that I wanted to throw in there. I think the blended approach is The best path forward for most doctors.
I've seen in my own practice when we offer a decompression plan to patients and say part of that plan we include some chiropractic treatment, or we have— maybe there's going to be an exercise instruction or something like that, or the x-ray part like you mentioned, or where there's some part of that plan that their insurance is going to pay for, even if it's 10% of it. Yeah, well, at least my insurance is paying for some of it.
Yeah, exactly. And there are people want to use it for something.
Yeah, and they're actually more likely to agree to the plan. I have found actually when I include some chiropractic in my decompression plans and even just shows that that part is being covered, they're like, okay, we'll do the plan versus the ones that, oh, it's all cash, nothing is being paid for. Sometimes those are ones that are a little bit more hesitant, even though it might be just a few hundred dollars difference.
Yeah, yeah, yeah, excellent point. And, um, you know, we all pay a lot for insurance, right? It's, it's— or most of us do. I mean, it's kind of a necessary thing to have, um, you know. But point being is, uh, the patients are just like us. They pay a lot for insurance. They want to use it to some degree. Um, and just being able— if it's just even even a little piece, it helps, you know, just helps that conversation go smoother. So yeah, the blended approach for most doctors is the best path forward. And what you'll find is, especially when you're talking with your own patients, they already know, like, and trust you. And so if you're, you know, for instance, say you have a patient, they're like, you know, 65, 68 years old. So they have degenerative disc disease. They've been seeing you forever for some type of maintenance. They're 2, 3, 4 out of 10 pain scale. They get relief, but it never fixes the problem. Well, that is a wonderful decompression patient. And if you— they already trust you, they like you. And if you said, hey, look, I can only go so far with chiropractic, but I think if we added in decompression that we can get you even better, right? Potentially even resolve this. What do you think? Um, those are really easy signups, right? Those are easy patients that, um, you know, they're looking for quality of life and they, uh, they're not getting all the way there with just chiropractic. So, um, something to keep in mind there. Uh, anything else on this topic, Dr. Kyle?
Well, I mean, it just— you, if you're stuck in the model of only insurance, you're only like, oh, I'm just gonna Do what my patients want. I'll only do services that their insurance is gonna cover. You're just, the whole moral of this talk is you're just stuck. You're not gonna get where you wanna get long-term. And it's gonna be a long 30 or 40 or 50-year career if that's what you're gonna stay in, because you're just, you're never gonna really get where you wanna get. So you gotta break outta that model thinking and think about how to incorporate these cash-based services. And it's just going to open up so many things and change your world. So if you stay in the insurance model, you're eventually just going to get squeezed and you're going to get wore down.
It's like that, that frog in the boiling water, right? It's, you know, you're, you're in it, it doesn't seem that bad, right? But it's just going to slowly get worse and worse and worse to a point where then you're going to just be like, yeah, I can't do anything anymore. So hopefully you're not at that point now, right? Hopefully you're still at a point where, you know, you want to grow, you see potential, you're willing to make some changes. We're not saying this is like a super easy thing to do, right? I'm not— I don't want to— I don't want to like sell you the song where you push an easy button and you make an extra $20 grand a month. It If it was that easy, everyone would be doing it. Okay, so it does take concerted time, effort, and energy, and of course investment to add an extra quarter million a year. But what I'm telling you is, A, it's possible, and B, the way we do it, it's the fastest way possible. And it really is fun. It's— doctors are, again, just like Dr. Smith, it's like re-energizing them. And so, you know, depends where you're at in practice. But if you want to protect yourself, protect your practice in the future, and oh, by the way, increase the value of the sale of it when you do want to get out, adding a nice cash-based service is, I think, something necessary moving forward.
Yeah, I couldn't agree with more what you said there. I really liked the part about What Dr. Smith is seeing, he's a little later in this practice and he's just seeing almost a rejuvenate. It's almost like he's Austin Powers and he's got his mojo back.
Well, I haven't heard that name in a while. Austin Powers, wow.
So— I love it, I love it. And it is, it's a fun way to practice and to see the numbers change, but most importantly, it's the lives you're changing. And these, these niches, these cash-based services really can go even above and beyond what the chiropractic adjustment can do. And the modern technology that we have, if you're utilizing it, it's some of the funnest times ever to be in chiropractic practice, in my opinion.
Yep, I couldn't agree more. So hopefully this was valuable for all of our listeners, and we appreciate all of you. And again, if you get value out of this, please consider sharing it with a friend or colleague. We— it's really growing. We're getting great feedback. So we're going to— we're going to keep doing this. But yeah, hopefully, look, if you're on the fence, you know, reach out, right? Have a conversation. You know, if you go to Specialized Practice, there's a way to, you know, get on my calendar. But don't just dive into this, right?
The—
you know, if you're going to do this, if you're going to make an investment, potentially do your due diligence. And, and just get— flesh out what the whole process looks like before you decide to dive in. If you just call a company like a table company, they will sell you on a table. They're very good salesmen. Nothing wrong with that. You know, they, they believe in their product. But, you know, there's, there is legwork to be done before writing a check for the table or, you know, financing a table. So there's, there's a way to do it right and a way to do it wrong. And so we just encourage you, if you're, if you're going to pursue spinal decompression, reach out so we can have a conversation, help guide you through that process. So with that being said, we'll wrap up this episode of Why Insurance-Only Chiropractic Practices Are Dying. And, um, Dr. Kyle, thank you for your time. And, um, uh, for Dr. Vince Leone and Dr. Kyle Pinkanen, we appreciate you guys. This is another episode of the Practice Explorers Podcast. Thank you. And we'll see you on the next episode. Hey, it's Dr. Vince again, and hope you enjoyed that episode. And if you're ready to grow your practice fast with high-value decompression patients, then the Decompression Accelerator could be a phenomenal option for you. This is our 90-day sprint to help you scale with proven systems, staff-driven protocols, and full marketing support, and it's all guaranteed. Spots are limited. Head to www. Www.decompressionaccelerator.com to learn more.
