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Podcast Episode

The Trick Nobody Tells You About Practice Value: Better Outcomes = Higher Profit

Podiatry Unfiltered··11 September 2026·13 min

About this episode

The Trick Nobody Tells You About Practice Value: Better Outcomes = Higher Profit (PRP, Shockwave, Laser) Michele McGowan argues that in regenerative and energy-based medicine (PRP, allograft, shockwave, Class 4 laser), improving patient outcomes and increasing practice value are not competing goals but the same compounding track: proficiency leads to better results, reputation, and demand. She contrasts this with insurance-driven, high-volume models where revenue depends on speed and routine services like nail care don’t compound into differentiation or meaningful practice value. She advises choosing additions based on what you’re willing to get genuinely good at, since that benefits both patients and the bottom line. She also discusses building profitability to avoid selling to private equity, including streamlining operations by firing a billing company, reducing software costs by switching from AdvancedMD to Jane App with Claim.MD, and gradually leaving insurance contracts that create authorization and denial issues. 00:00 Practice Value Myth 01:03 Why Volume Warps Care 01:35 Proficiency Builds Value 02:42 Compounding Demand Loop 04:10 Routine Care Trap 04:52 One Question Filter 06:26 Selling And Profitability 07:20 Firing The Billing Company 09:09 Streamlining Tech Stack 10:18 Avoiding Private Equity Exit 12:04 Modernize Your Practice 12:56 Closing And Contact