In this episode of the Grow Your Practice podcast, host Chad Madden, owner of Madden Physical Therapy and Breakthrough, discusses how to effectively manage and strategize around Medicare cuts that impact revenue for private practices. Chad dives into the macroeconomic factors influencing healthcare costs, shares a personal story about navigating the healthcare system, and introduces a six-step flywheel process for practice owners to audit, plan, strategize, implement, measure, and repeat strategies to stay profitable. He also discusses the importance of targeting younger demographics, improving payer mix, and marketing effectiveness. Additionally, the episode highlights the ‘Profitability Under Pressure’ program, which provides a comprehensive system to help practice owners increase their profit margins amidst declining reimbursements.