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Cash, Insurance, or Both: Building a Payer Mix That Holds

Cash, Insurance, or Both: Building a Payer Mix That Holds

by Jason Farmer | Jul 15, 2026 | Financial Oversight

Going cash-only is the most-advertised answer in chiropractic and the most oversold. The defensible move is deliberate mix – and knowing exactly what each payer class earns you per visit. Key TakeawaysChiropractors report a genuinely mixed payment environment...
How Much Does a Fractional Executive Cost? The Math for Medical Practices

How Much Does a Fractional Executive Cost? The Math for Medical Practices

by Jason Farmer | Jul 15, 2026 | Financial Oversight

Fractional pricing looks expensive until you set it next to the alternative. Here is the full-time comparison, the working ranges, and the return the fee has to clear. Key TakeawaysA full-time executive for a medical practice runs roughly $250,000 to $500,000 a year...
The Economics of Telehealth in a Private Practice, Post-Pandemic

The Economics of Telehealth in a Private Practice, Post-Pandemic

by Jason Farmer | Jul 4, 2026 | Operations

The emergency is over, the hype has cooled, and telehealth has settled into something more useful: a scheduling and access tool that either earns its slot on the template or doesn’t. Here is how to tell which. Key TakeawaysTelehealth utilization has settled well...
A Practical Playbook for Reducing Patient No-Shows

A Practical Playbook for Reducing Patient No-Shows

by Jason Farmer | Jun 26, 2026 | Operations

No-shows are the most controllable revenue leak in a medical practice. Here is the system that closes it: measurement, lead-time compression, a reminder cadence, and policies applied without apology. Key TakeawaysMeasure your no-show rate weekly and segment it by...
Ancillary Lines in OB/GYN: Ultrasound, Laboratory, and Elective Wellness

Ancillary Lines in OB/GYN: Ultrasound, Laboratory, and Elective Wellness

by Jason Farmer | Jun 20, 2026 | Financial Oversight

Private equity buyers pay premiums specifically for OB/GYN practices with integrated ancillary services. That premium exists because the services generate real margin – but each one carries compliance requirements that are not optional and not uniform across...
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