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The 53-Minute Cap is Broken: Is Value-Based Care the Fix?
TRICARE goes AWOL, prior authorization requests multiply, and healthcare reimbursement remains stubbornly stuck in 1995. If you are running an EMDR intensive, offering Ketamine-Assisted Psychotherapy (KAP), or integrating somatic modalities into your practice, you already know the operational math does not add up. A full dosing and integration session easily takes two to four hours. Yet standard commercial insurance caps providers at a 53-minute 90837 code and tells you to ru
Do It Scared: Why Waiting to Scale Your Practice is Keeping You Stuck
Solo private practice can feel like juggling flaming chainsaws while riding a unicycle. You’re doing the deep clinical work, writing the notes, answering the intake calls, and doing billing on Sunday afternoons when you’d rather be anywhere else. Then comes the breaking point. Your schedule is completely full. Your waitlist is out the door. You’re referring out 5 to 10 prospective clients a week because you physically do not have another hour in the day. Logical next step? Hi
Preventing Frankenstein’s Monster: Systems to Protect Your Boundaries as a Practice Owner
You started your private practice to help people and gain freedom, but somewhere along the way, the script flipped. Now, it feels like your business is running you—creeping into your evenings, stealing your weekends, and leaving you feeling resentful of the very thing you worked so hard to build. When every single operational detail demands your constant attention, it’s easy to accidentally build a "Frankenstein’s monster" that consumes your life outside of work. Here’s the t
