Practice Now Insights
Clear thinking for stronger practices.
Practical perspective on the operational, financial, and organizational challenges that shape how a practice performs — written for the owners and leaders living them every day.
Featured Article
Growth
Before You Hire a COO, Read This
Most practices don’t need a COO. They need the conditions that make a COO effective. Getting that order wrong is expensive in ways that don’t show up on the P&L until it’s too late.
Read Article →Also Published
Operations
The Owner Who Can’t Take a Two-Week Vacation Has a Systems Problem
If the practice stops when you step out, you haven’t built a practice. You’ve built a job. The dependency isn’t a staffing issue or a loyalty issue — it’s a systems issue, and it has a fix.
Practice Strategy
What Most Consultants Get Wrong About Practice Improvement
A report that sits in a drawer isn’t operational improvement. The most common failure mode in practice consulting has a specific cause — and a specific fix.
Coming Soon
Revenue Cycle
Revenue Cycle Isn’t a Billing Problem
Why the root cause is almost always upstream — and where to actually look first.
Coming Soon
Owner Alignment
Your Revenue Is Fine. Your Practice Isn’t.
The gap between a healthy P&L and a broken operation — and why owners miss it until something breaks.
Coming Soon
Finance
The Six-Month Mark: Why Practice Improvement Fails Without Sustainability
Change doesn’t stick without building it to outlast the consultants.