20/20 MONEY Adam Cmejla

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Adam Ramsey, OD.
 
Adam joins me back on the show to continue the conversation that we teased at the end of our first conversation which was how Adam evaluated the decision to go out of network with a variety of VCPs that he was taking in his practice. He shares how he came to the realization that he needed to do it, how he evaluated the different 3rd party payors to determine which ones to punt and which ones to keep, how he benchmarked success in the process, what it meant to his practice’s profitability, and the importance of being intentional and purposeful in practice ownership and what that’s meant to him and his business. He also talks about a passionate topic that he shared in a LinkedIn post. You can tell Adam’s extremely passionate about the profession of optometry and wants to see private practices succeed and for ODs to become more knowledgeable about the business of optometry and I was happy to provide the platform for him to share his lessons and journey.
 
As a reminder, you can get all the information discussed in today’s conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that’s filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you’re interested in learning more about the the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you!
 
And with that introduction, I hope you enjoy my conversation with Dr. Adam Ramsey, OD.
 
Resources:
20/20 Money Community Information
Adam’s LinkedIn post
Fear Setting Exercise: 
https://integratedpwm.com/wp-content/uploads/2023/09/Fear-Setting-Exercise.docx
 
 
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For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Welcome to this episode of 20/20 Money! My guest on today’s show is Nathan Hayes with IDOC.
 
Nathan joins me back on the show and we put a quantitative spin on our conversation today. We talk all things benchmarks and margins in an optometry practice. We discuss how to use benchmarks to make smart practice decisions and ways in which benchmarks can actually give you a false sense of anxiety and stress in your practice. We explain (defend?) why it’s better to focus on increasing your revenues in your practice than focusing on shaving small percents off of a limited number of expenses in your practice. We also spend time defining and talking through optometric net in a practice, why it’s important, and how to use that number to better inform you about the efficiency of the OD time in your practice.
 
As a reminder, you can get all the information discussed in today’s conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that’s filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you’re interested in learning more about the the 20/20 Money Membership, please check out the link in the show notes to learn more about what we have in store for you!
 
And with that introduction, I hope you enjoy my conversation with Nathan Hayes.
 
Resources:
IDOC Books & Benchmarks Link
20/20 Money Community Information
Interview with Dr. John Ormando
 
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Please rate and subscribe to 20/20 Money on these platforms
Apple Podcasts
Spotify
For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

In the spirit of managing information overload, I wanted to take a week to pause on new information and rather share a process or organizing and prioritizing your thoughts, goals, and actions that can often stem from listening to shows like 20/20 Money and the consumption of other content.
 
Resources:
20/20 Money Community Information
reMarkable 2 Tablet 
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Please rate and subscribe to 20/20 Money on these platforms
Apple Podcasts
Spotify
For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!
 
 

Welcome to this episode of 20/20 Money! My guests on today’s show are Dr. Todd Cohan and Sadie Blair.
 
Todd & Sadie join me on the show today to talk about the successful dynamic that exists between both of them as owner and practice operations manager. Todd shares how impactful it’s been to have a great team member and integrator like Sadie in the practice and how that has allowed the practice to continue to grow. They share how they’ll both process all of the ideas, strategies, and concepts that they (and their team) will have learned at IDOC Connection and how they decide which ones they’ll implement and how they manage timelines. Sadie shares how she successfully transitioned from a larger corporate-structured practice into Todd’s smaller, private practice and how she earned the buy-in from the team that Todd already had in place. I enjoyed recording this conversation because it shows the different vantage points from owner and operations manager—and why open lines of communication on all fronts is so important for practice success.
 
 
As a reminder, you can get all the information discussed in today’s conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that’s filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you’re interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you!
 
And with that introduction, I hope you enjoy my conversation with
 
Resources:
20/20 Money Community Information
All in by Mike Michalowicz
6 Types of Working Genius
 
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Please rate and subscribe to 20/20 Money on these platforms
Apple Podcasts
Spotify
For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Welcome to this episode of 20/20 Money! My guest on today’s show is Bethany Fishbein, OD.
 
Bethany joins me on the show live from Vision Expo East to talk about one of the most important relationships in an optometric practice: the relationship between the practice manager and the owner/OD. In this conversation, she talks about the evolution of the managerial role in the practice as the practice matures and grows, the characteristics of a valuable practice manager, the mistakes that both she and others have made when filling the practice manager role in the office, and the importance of the practice owner's vision for how they want the practice to function. She also shares how to think about creating a job description (and why you should use a templated job description as a starting point for creating your customized version) and how you can use an honest conversation with your practice manager to align expectations in your office...ultimately using that conversation as the launch point for future performance and goal reviews. 
 
As a reminder, you can get all the information discussed in today’s conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that’s filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you’re interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you!
 
And with that introduction, I hope you enjoy my conversation with Dr. Bethany Fishbein, OD.
 
Resources:
20/20 Money Community Information
www.leadersofvision.com
 
 
 
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Please rate and subscribe to 20/20 Money on these platforms
Apple Podcasts
Spotify
Google Podcasts
Stitcher 
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For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Jennifer Stewart, OD.
Jen joins me on the show today to talk through her journey launching her tepid start practice, Look New Canaan. I’ve had Jen on the show multiple times in the past, and this was admittedly one of my more enjoyable conversations with a podcast guest. Maybe it’s because it was live, or maybe it’s because Jen’s passion for this profession is so, well…passionate. But we hit on so many amazing and pointed topics that I would challenge any listener to NOT find at least one actionable or impactful idea, strategy, or concept. We talk about the interesting dichotomy that exists between the risk that’s needed to start a business from scratch and the generally conservative nature of ODs—and how she’s been able to so successfully reconcile those two opposed forces.
 
And just one additional point to clarify that I don’t think we made explicitly clear later in the conversation: Jen does see medical patients, it's just cash pay. She doesn’t take medical insurance…but she does see patients for medical reasons on a cash pay basis. People will think that "she doesn't do medical" because she doesn't do medical insurance...she does medical, it's just cash pay.
 
As a reminder, you can get all the information discussed in today’s conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that’s filled with tips and ideas to help you plan your best life, on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you’re interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you!
 
And with that introduction, I hope you enjoy my conversation with
 
Resources:
20/20 Money Community Information
Jeremy Ciano interviews
Kyle & Chris 20/20 Money Takeover
Three River Optical
IDOC
Derek Sivers CD Baby Story
Look New Canaan
 
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Please rate and subscribe to 20/20 Money on these platforms
Apple Podcasts
Spotify
Google Podcasts
Stitcher 
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For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!