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Private Practice Survival Guide

Author: Brandon Seigel

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This podcast is all about empowering you to create the change you want to see in your practice. As a private practice strategist, I have dedicated my career to transforming the way that healthcare functions.


Brandon Seigel, President of Wellness Works Management Partners, is an internationally known private practice consultant with over fifteen years of executive leadership experience. Seigel's book "The Private Practice Survival Guide" takes private practice entrepreneurs on a journey to unlocking key strategies for surviving―and thriving―in today’s business environment. Now Brandon Seigel goes beyond the book and brings the same great tips, tricks, and anecdotes to improve your private practice in this companion podcast.


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143 Episodes
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Send a text In this Quick Tip episode of the Private Practice Survival Guide, Brandon Seigel breaks down what it really means for a private practice to operate as a Management Services Organization (MSO)—and why owning your MSO can be a powerful strategic advantage. He explains how an MSO separates non-clinical functions like HR, billing, operations, compliance, marketing, and technology into a scalable business infrastructure that allows providers to stay focused on patient care while buildi...
Send a text In this episode of the Private Practice Survival Guide Podcast, Brandon Seigel breaks down the multi–tax ID private practice model and why relying on a single tax ID can limit growth, care delivery, and operational freedom. Drawing from real-world experience, Brandon explains how separating insurance-based care, concierge/private pay services, and a Management Services Organization (MSO) can unlock flexibility, protect compliance, diversify revenue, and expand patient access—witho...
Send a text In this Quick Tip episode of the Private Practice Survival Guide Podcast, Brandon Siegel shares the leadership books that shaped how he builds culture, earns trust, and leads teams in healthcare. He breaks down key lessons from Leaders Eat Last, The Advantage, Drive, Dare to Lead, and The 5 Levels of Leadership—covering psychological safety, organizational clarity, intrinsic motivation, courageous communication, and how great leaders develop people (not just systems). If you’re a ...
Send a text This episode breaks down why leadership fails in practice operations—and what high-performing leaders do differently. Starting with the real barriers to leadership, Brandon uses a Tom Brady example to explain the drive, standards, and internal accountability required to lead when pressure is high. You’ll learn a Vision-Driven Strategist framework for creating change: define the vision, translate it into measurable goals, and build the structure that makes execution repeatable—not ...
Send a text In this quick-tip episode of The Private Practice Survival Guide, Brandon Siegel breaks down three practical ways to improve your direct mail results by sharpening one thing most campaigns get wrong: the call to action (CTA). He explains what a CTA actually is, why clarity beats cleverness, and how to structure a single, bold next step your audience can understand in five seconds or less. You’ll learn how to reduce friction (so people can act fast), how to use urgency without soun...
Send a text We tackle a reality most practice owners are feeling: digital marketing is getting more expensive, more crowded, and less predictable. As search and social costs rise, “disruptive” marketing is shifting from being optional to being a competitive advantage—especially in a world where digital saturation makes it harder for practices to stand out and be remembered. This episode makes the case for direct mail as a high-impact channel again—not as a generic flyer, but as a tactile, val...
Send a text In this Private Practice Survival Guide quick tip, Brandon reframes HR as the single biggest catalyst for owner freedom—because the path from burned-out operator to strategic CEO is built on people systems, not more hustle. He explains why many private practice owners feel trapped in constant turnover, confrontation, and decision fatigue, and makes the case that a strategic HR function becomes the “leadership engine” that fuels growth, accountability, and organizational impact. Yo...
Send a text Most leaders think payroll is a simple math problem. This conversation breaks down why it is more complex—and why the way you classify, pay, and structure your team directly impacts profitability, valuation, retention, and culture. From the real differences between W-2 employees and 1099 contractors to exempt vs. non-exempt rules, the episode clarifies what “Uncle Sam gets paid either way” actually means and why a contractor-heavy model can limit the value of a business. You will ...
Send a text In this episode, you’ll learn why exempt salaries often fail in private practices—even when they look like a clean solution for predictable payroll. The episode breaks down what “exempt” actually means under the Fair Labor Standards Act (FLSA) (fixed salary, no overtime eligibility, and strict duties tests) and why many practice owners unintentionally create risk by using “salary” as a shortcut instead of a compliance-based classification. You’ll hear the most common failure point...
Send a text Most leaders think payroll is a simple math problem. This conversation breaks down why it is more complex—and why the way you classify, pay, and structure your team directly impacts profitability, valuation, retention, and culture. From the real differences between W-2 employees and 1099 contractors to exempt vs. non-exempt rules, the episode clarifies what “Uncle Sam gets paid either way” actually means and why a contractor-heavy model can limit the value of a business. You will ...
Send a text Do personality tests actually translate into real-world performance—or are they just another hiring trend? In this episode, we break down how personality assessments, when used correctly, can become a powerful predictor of performance, retention, and team effectiveness. The conversation explores why conscientiousness consistently emerges as one of the strongest predictors of success in modern performance models, and why high-performing organizations avoid hiring “yes people” in fa...
Send a text In this Private Practice Survival Guide episode, Brandon Seigel explains how personality assessments become truly useful when you treat them as decision-grade data—not labels. He reframes assessments as a way to understand patterns in thoughts, feelings, and behaviors, and clarifies a common misunderstanding: someone can be introverted and still enjoy extrovert activities, but that doesn’t mean those activities won’t exhaust them. The leadership takeaway is simple—don’t confuse be...
Send a text We break down why the future of effective marketing is no longer transactional, but transformational. Rather than chasing one-time conversions, the conversation reframes marketing as a trust-based, value-driven process built on dialogue, collaboration, and genuine human connection.We explore how shifting the question from “How do I sell to you?” to “Why would you want to succeed with me?” changes outcomes entirely. By focusing on creating real results for clients, brands can deepe...
Send a text Relationship-based marketing is not about sounding polished—it’s about sounding human. In this episode, we break down what separates genuine relationship marketing from transactional “used car salesman” tactics, and why trust, consistency, and customer experience are the real growth levers. You’ll learn how people make decisions when they feel valued, and why marketing becomes truly effective when you can apply data and insights to create relevance for the customer. We unpack why ...
Send a text In this episode of the Private Practice Survival Guide, Brandon Siegel breaks down why the “another day, another dollar” mindset quietly limits growth—and how reframing progress changes everything. Instead of chasing outcomes alone, this conversation focuses on why progress over attainment creates stronger teams, healthier motivation, and more sustainable performance inside private practices. We explore how small wins compound into powerful feedback loops, why recognizing employee...
Send a text Most employee goal systems fail for one simple reason: they measure output, not purpose. In this episode we break down why people don’t disengage from work—they disengage from work that feels meaningless. Real performance doesn’t come from pressure or metrics alone; it comes from alignment, ownership, and visible progress in both life and work. This conversation challenges the idea that employees should only have goals tied to company KPIs. Instead, it explores how personal goals,...
Send a text Strategies for Evaluating a Trailing KPI breaks down how private practice owners can use historical performance data to make smarter, more confident business decisions. In this Private Practice Survival Guide quick-tip episode, Brandon Siegel explains what trailing KPIs are, how they differ from leading indicators, and why metrics like revenue per session, collection rate, net profit margin, patient acquisition cost, and appointment arrival rates are essential for evaluating opera...
Send a text If you’re making decisions based on “how it feels” instead of what your financial data is actually saying, this episode will reset your approach. We focus on a practical, operator-friendly way to evaluate your past financial analytics—so you can spot trends, tighten performance, and plan the next quarter (and year) with clarity. We break down how to look at historical revenue and expense patterns, identify what’s driving profit (and what’s quietly eroding it), and use key metrics ...
Send a text In this quick tip episode of The Private Practice Survival Guide, Brandon breaks down the real reason most private practices fail a HIPAA compliance audit: they don’t realize how easily PHI can be exposed—often in ways that can be interpreted as gross negligence. From front-desk conversations and sign-in sheets to visible computer screens, unsecured paper charts, and unencrypted communication, Brandon explains how common “everyday” workflows create preventable compliance risk. You...
Send a text HIPAA compliance can feel like a moving target for private practice owners—but most violations don’t come from “bad intent.” They come from gaps in training, inconsistent workflows, and unsecured handling of Protected Health Information (PHI). Brandon breaks down the most common HIPAA pitfalls seen across clinics—what creates real risk, what regulators look for (including the “gross negligence” standard), and how to build repeatable safeguards that reduce exposure without paralyzi...
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