Freedom by Design

Jason Wambold – Compensation & Ownership Thinking | Most Compensation Plans Create the Wrong Behavior

Compensation plans are not just about paying people. They shape behavior across your entire team, whether you intend it or not. In this episode, we break down the most common mistakes owners make when designing pay structures. You will hear why misaligned incentives lead to frustration and inconsistent performance, and how clearer expectations create accountability. This conversation challenges the idea that compensation is just a financial decision and shows how it directly impacts culture and results. Episode breakdown 00:00:00 - Introduction 00:00:47 - Productivity, ownership thinking, and eliminating confusion 00:02:54 - Salary plus incentive models 00:08:15 - Thinking through the economics of care 00:08:49 - Reimbursement pressure and the cost of education 00:20:00 - Revenue-based thinking and provider awareness If compensation, productivity, reimbursement, or ownership thinking is creating tension in your practice, schedule a conversation with Jamey here [https://practicefreedomu.com/discoverycallwithjamey/?utm_source=freedombydesign&utm_medium=notess1ep8]. You can learn more about Jason’s work at Prompt Compensation here [https://www.prompthealth.com/products/compensation/?utm_source=freedombydesignwithjameyschrier&utm_medium=shownotes].

Nate Hendrikse – Financial Clarity | Clean Numbers Change How You Lead

When the numbers are unclear, every decision becomes reactive. In this episode, we break down why financial clarity is not just about accounting, but about leadership and decision-making. You will hear what most owners are not tracking, why unclear data leads to hesitation, and how clean, consistent numbers allow you to make stronger decisions with more confidence. This conversation focuses on visibility and how better numbers change the way you lead. Episode breakdown 00:00:00 - Introduction 00:01:00 - Cash flow and confident decisions 00:05:07 - Financial numbers, KPIs, and the story behind the results 00:09:28 - Negative profit, negative cash flow, and understanding what happened 00:12:27 - Profit and loss as a core financial report 00:14:52 - Emotional decision-making around money If your numbers, cash flow, or financial decisions feel unclear, schedule a conversation with Jamey here [https://practicefreedomu.com/discoverycallwithjamey/?utm_source=freedombydesign&utm_medium=notess1ep7]. You can learn more about Nate and Navigator Bookkeeping here [https://navigatingyourbooks.com/schedule-discovery-call/?utm_source=freedombydesignwithjameyschrier&utm_medium=shownotes].

Josh Grover – Revenue Cycle & Leaks | What Looks Like a Growth Problem May Be a Revenue Leak

Is growth really what’s holding the practice back? Sometimes the bigger issue is not demand. It’s whether the business can collect, track, and keep what it already earned. In this episode, we break down where revenue quietly leaks inside a practice and why most owners miss it. You will hear how gaps in patient responsibility, billing workflows, and operations compound over time. This conversation shows why volume cannot fix what is broken underneath and why capturing what you already earn is often the fastest path to improving your numbers. Episode breakdown 00:00:00 - Introduction 00:02:46 - Bringing billing in-house and teaching teams how to manage it 00:05:24 - How patient responsibility can affect cash flow 00:07:22 - Looking for patterns in denials and payments 00:12:34 - Why owners may feel bad collecting patient responsibility 00:18:45 - Why volume can hurt the clinic when collections are weak If billing gaps, collections, cash flow, or revenue leaks are creating stress in your practice, schedule a conversation with Jamey here [https://practicefreedomu.com/discoverycallwithjamey/?utm_source=freedombydesign&utm_medium=notess1ep6]. You can learn more about Prompt Therapy Solutions here [https://www.prompthealth.com/?utm_source=freedombydesignwithjameyschrier&utm_medium=shownotes].

Zac Cohen – Cash-Based, Sales, Leadership | The Truth About Building a Cash-Based Practice

Building a cash-based practice sounds appealing, but it is not as simple as removing insurance. This episode breaks down what most owners underestimate when they move toward a cash model and where things tend to break down. We get into the level of communication required, how expectations need to change, and why confidence in your value becomes critical. You will also hear why some transitions fail and what actually needs to be in place to make a cash-based model work long-term. Episode breakdown 00:00:00 - Introduction 00:01:38 - Zac’s experience and the owner’s role in creating a stronger model 00:02:34 - Delivering at a higher level and improving the patient experience 00:10:44 - Understanding the worries, pain, and emotional side of the patient problem 00:15:01 - Turning what the owner does into SOPs 00:16:25 - The role of sales in a cash-based model 00:19:29 - Getting clear on patient pain and challenges If cash-based growth, sales, leadership, or owner dependency is showing up in your practice, schedule a conversation with Jamey here [https://practicefreedomu.com/discoverycallwithjamey/?utm_source=freedombydesign&utm_medium=notess1ep5]. You can learn more about Zac and Cohen Health and Performance here [https://cohenhp.com/?utm_source=freedombydesignwithjameyschrier&utm_medium=shownotes].

Joe Marcoux – Sales Mindset & Communication | Why Great Practice Owners Still Struggle to Sell

Do you think of yourself as a salesperson? Most practice owners don’t, which is exactly why sales conversations can start to feel uncomfortable. In this episode, we break down why good people struggle when it comes to money conversations and how hesitation shows up in subtle ways. You will hear why patients often leave unclear or unconvinced, and how communication, not pressure, is what actually drives decisions. This conversation reframes sales as clarity, not persuasion, and shows how better conversations lead to better outcomes for both the patient and the business. Episode breakdown 00:00:00 - Introduction 00:01:28 - The sales challenges practice owners often experience 00:05:09 - Why rapport building needs intention 00:14:47 - Using better questions to help people feel heard 00:14:54 - Why emotion matters in buying decisions 00:19:07 - The moment of recommending a plan after the evaluation If sales conversations, patient commitment, or communication around recommendations feels inconsistent in your practice, schedule a conversation with Jamey here [https://practicefreedomu.com/discoverycallwithjamey/?utm_source=freedombydesign&utm_medium=notess1ep4]. You can learn more about Joe and The SOS Dojo here [https://sosdojo.com/?utm_source=freedombydesignwithjameyschrier&utm_medium=shownotes].