47. Why Insurance-Only Practices are Dying (and what to do about it)

51. The Decompression Flywheel

🎙 Episode 51 – The Decompression Flywheel In this episode of The Practice Builders Podcast, Dr. Vince Leone breaks down the Decompression Flywheel — an 8-stage framework that helps chiropractors stop guessing, find the real bottleneck in their decompression growth, and fix it fast. You'll learn: * Why most doctors assume they have a lead problem — and why the real bottleneck is almost always somewhere else in the patient journey * How to track the 6 core numbers that reveal exactly where your growth is stalling every single month * Why 90 days of data is all you need to accurately diagnose your biggest constraint and stop wasting time fixing the wrong thing * How building a staff-driven, team-equipped practice reduces your dependence on you — and makes decompression actually scalable * Why your existing patients, new patient flow, and past patient base are your three most powerful (and most underused) growth assets * How clarity and confidence in the consultation and ROF convert more patients than any script ever will * Why capturing patient proof on camera fuels both your marketing and your team's morale * The one rule that separates sustainable growth from burnout: scale the system only once the system is stable This is a must-listen for any chiropractor actively offering decompression who feels like growth has stalled — and wants a clear, honest look at what's really holding them back. 🎧 Tune in and walk through each stage of the flywheel — because once you find your bottleneck and fix it, the whole system starts spinning in your favor.

50. Million Dollar Practice Habits

🎙 Episode 50 – Million Dollar Practice Habits In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down the 7 non-negotiable habits that separate million dollar chiropractic practices from the rest — and how any doctor can start building them today. You'll learn: * Why thinking like a CEO — knowing your numbers, planning strategically, and dreaming bigger — is the foundation of every million dollar practice * How to create a wow patient experience that drives referrals, increases case acceptance, and justifies premium care plan pricing * Why selling outcomes instead of visits is the single biggest shift you can make in your patient conversations * How protecting your time and energy as the practice owner directly impacts your ability to grow * Why building and inspiring a team around you is non-negotiable — and how to get staff to see their work as a calling, not just a job * How to market consistently and emotionally detached through the peaks and valleys — and why most doctors quit too soon * Why the doctors hitting $1M+ never stop learning, and how coaching, seminars, and masterminds shortcut your path to success This is a must-listen for any chiropractor ready to stop coasting and start installing the habits that compound into a thriving, staff-run, million dollar practice. 🎧 Tune in and discover which habit to start with this quarter — and how small, consistent improvements snowball into the practice you've always envisioned.

49. Why Decompression Patients Buy Outcomes, Not Visits

🎙 Episode 49 – Why Decompression Patients Buy Outcomes, Not Visits In this solo episode of The Practice Builders Podcast, Dr. Kyle Pankonin reveals one of the most powerful shifts a decompression practice can make — moving from selling visits to selling life-changing outcomes. You'll learn: * Why patients don't buy decompression visits — they buy the possibility of getting their life back * How emotional drivers like fear of surgery and loss of identity outweigh clinical findings in patient decision-making * How to reframe your messaging from pain relief to functional restoration and quality-of-life outcomes * Why positioning decompression as a non-surgical alternative changes how patients receive your recommendation * How to use the 50% Rule to set realistic expectations that lead to higher patient satisfaction * What to focus on during your Report of Findings — and why possibility matters more than diagnosis This is a must-listen for any decompression doctor who wants stronger conversions, deeper patient relationships, and a communication framework that truly resonates. 🎧 Tune in and learn how to stop selling treatments — and start selling the life your patients are desperate to get back.

48. Analysis of a $30,000 Day with Spinal Decompression

What does it actually take to go from a $30K/month, insurance-heavy practice… to $112K in a single month? In this episode of The Practice Builders Podcast, Dr. Vince sits down with Dr. Vini Cornejo to break down the real story behind his growth. Two years ago, Dr. Vini was stuck. He had a decompression table, some outside guidance, and the same problem most doctors face… no real traction. Fast forward to today: He just hit $112,000 in a single month… including a $30,000 day. Inside this conversation, we unpack what actually changed: The shift from generalist to specialist How his clinical confidence completely transformed his conversions What it really takes to handle 9 new patients in a single day Why implementation—not information—is the difference-maker This isn’t theory. It’s what it looks like when the right systems, skills, and mindset come together. If you're a chiropractor looking to grow a serious decompression practice, this episode will give you a clear picture of what’s possible—and what it actually takes to get there. Learn more about the Decompression Accelerator here: 👉 https://www.decompressionaccelerator.com [https://www.decompressionaccelerator.com]

47. Why Insurance-Only Practices are Dying (and what to do about it)

🎙 Episode 47 – Why Insurance-Only Chiropractic Practices Are Dying In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin tackled one of the most urgent threats facing chiropractors today: the slow death of the insurance-only practice model. Drawing from over 26 years of clinical experience and real coaching results, they break down why flat reimbursements, rising overhead, insurance red tape, and volume burnout are quietly crushing practices — and what doctors can do right now to protect their income, their health, and their future. You'll learn: * Why insurance reimbursements have barely moved in over two decades while overhead keeps rising * How chasing volume creates a negative flywheel that burns out doctors and delivers worse patient experiences * Why relying solely on insurance gives you almost no control over your own revenue * The power of adding cash-based services — specifically spinal decompression — as your first niche * How a hybrid model (not going all-cash overnight) is the smartest and safest transition strategy * Real results: how Dr. Kyle went from $48–50K/month heavily insurance-dependent to pushing $120K/month, mostly cash-based * Why patients absolutely will pay out of pocket — when you're selling an outcome, not just a service * Step-by-step action items for doctors who are heavy insurance and want a way out Dr. Leone and Dr. Pankonin also share honest advice on how to audit your insurance plans, drop the worst offenders, and gradually build a cash-based niche without losing your patient base overnight. If you're feeling stuck, burnt out, or like you're working harder every year for the same paycheck, this episode will show you there is a better model — and exactly how to start moving toward it.