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The Practice Builders

The Practice Builders

Von: Dr. Vince Leone and Dr. Kyle Pankonin
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Welcome to the Practice Builders podcast, the show where innovation meets strategy for growing thriving chiropractic clinics presented by Specialized Practice and hosted by Dr. Vince Leone and Dr. Kyle Pankonin. They're here to share proven tactics to help you build cash-based revenue streams, maximize staff driven services, and reduce reliance on insurance.

Dr. Vince Leone and Dr. Kyle Pankonin
Erfolg im Beruf Ökonomie
  • 49. Why Decompression Patients Buy Outcomes, Not Visits
    May 11 2026

    🎙 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.

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    27 Min.
  • 48. Analysis of a $30,000 Day with Spinal Decompression
    May 4 2026

    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

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    22 Min.
  • 47. Why Insurance-Only Practices are Dying (and what to do about it)
    Apr 27 2026

    🎙 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.

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    36 Min.
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