We use a simple Tetris metaphor to explain what real progress looks like in an optometry practice: we don't need every move mapped out, we just need to make the best next decision with the "block" in front of us, execute, and then adjust based on what we learn. We talk through why many owners get trapped waiting for perfect clarity, how the build, measure, learn cycle creates momentum and profitability, and why healthy margins require intentional choices instead of letting vendors, reps, or urgency dictate our priorities. We also get honest about the real constraint for most practice owners: if we're in clinic nonstop, we'll never have the margin to work on the business, so we may need a temporary pullback to reinvest in people and systems that unlock the next level.

Have a question you'd like us to address in a future episode? Submit it here!

Resources:

Learn more about Partners in Profit

Download the Practice Owner's Financial Toolkit

20/20 Money Ultimate Financial Success Masterclass

OD Mastermind Interest Form

Check out Adam's new book: How to Buy an Optometry Practice

The Lean Startup Book

Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro

Subscribe on Spotify: https://shorturl.at/jCtsk

In this episode, we tackle a topic many optometry practice owners overlook: how to strategically manage reps and vendor partners so they add value without draining time, payroll, or margin. We discuss how to set guardrails with your team, differentiate true vendor partners from transactional sales reps, and avoid the hidden labor costs that come from unstructured drop in visits. From scheduling limited rep time blocks to leveraging consignment frame programs that reduce administrative burden, this conversation focuses on protecting productivity while still benefiting from outside expertise. The key takeaway is simple: if you do not create a system for managing reps, they will create one for you, and it may not serve your profitability or long term vision.

Have a question you'd like us to address in a future episode? Submit it here!

Resources:

Reduce Staff As You Scale Reduces HR Headaches

Learn more about Partners in Profit

Download the Practice Owner's Financial Toolkit

20/20 Money Ultimate Financial Success Masterclass

OD Mastermind Interest Form

Check out Adam's new book: How to Buy an Optometry Practice

In this episode, we expand the outsourcing conversation beyond billing and challenge ourselves as practice owners to rethink what truly has to stay on our plate. We discuss domestic versus international outsourcing, how virtual team members can support communication and administrative roles, and how systems in optical and operations can reduce hidden inefficiencies that quietly erode margin. More importantly, we address the mindset shift required to let go of tasks that create decision fatigue and limit growth. If you feel like you are working harder but not seeing the return, this conversation will push you to inventory your time, take a calculated risk, and build a practice that runs on better systems rather than personal sacrifice

Have a question you'd like us to address in a future episode? Submit it here!

Resources

Download the Practice Owner's Financial Toolkit

Partners in Profit

20/20 Money Ultimate Financial Success Masterclass

OD Mastermind Interest Form

Check out Adam's new book: How to Buy an Optometry Practice

Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro

Subscribe on Spotify: https://shorturl.at/jCtsk

In this episode, we dive into one of the least exciting but most critical areas of practice ownership: billing and collections. We discuss whether to keep billing in house or outsource it, how accounts receivable aging reveals the health of your revenue cycle, and the real business risk of relying on a single team member to manage cash flow. We share practical insights on evaluating billing partners, maintaining continuity, reducing HR strain, and communicating changes with trust and respect so your practice can stay profitable, stable, and positioned for long term success.

Have a question for us to address in a future episode? Submit it here!

Resources:

Download the Practice Owner's Financial Toolkit

Partners in Profit

20/20 Money Ultimate Financial Success Masterclass

OD Mastermind Interest Form

Check out Adam's new book: How to Buy an Optometry Practice

Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro

Subscribe on Spotify: https://shorturl.at/jCtsk

In this episode, we challenge optometry practice owners to rethink online scheduling, not as a tech upgrade, but as a strategic lever for growth and efficiency. We unpack the gap between simply offering online scheduling and actually driving patient adoption. If we want to elevate the patient experience and reduce administrative strain, we have to do more than turn it on. We have to communicate the why, integrate it into every patient touchpoint, and make it the natural first step when someone is ready to book.

This conversation goes beyond convenience. We talk about capturing missed opportunities, lowering phone volume, managing rising staffing costs, and creating a smoother experience for both patients and team members. If we are serious about adding new patients and running a more efficient practice in 2026, this is a simple, delegatable project that can create meaningful long term impact.

Have a question for us to address in a future episode? Submit it here!

Resources:

Download the Practice Owner's Financial Toolkit

20/20 Money Ultimate Financial Success Masterclass

OD Mastermind Interest Form

Check out Adam's new book: How to Buy an Optometry Practice

Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro

Subscribe on Spotify: https://shorturl.at/jCtsk

In this episode, we take on a topic that pulls at every practice owner's attention: marketing. But instead of talking about bigger budgets, mailers, or flashy tactics, we challenge the assumption that growth always requires more marketing dollars.

When we look at high performing practices, many of them are not spending heavily on traditional marketing at all. We explore the idea that culture is marketing and that the patient experience is either making you remarkable or making you invisible. From online scheduling to first impressions at the front desk, we break down how the small decisions inside your practice compound into the story your patients tell about you.

We also get practical about execution. It is not enough to have great ideas about patient experience if we never pull the trigger. We talk about avoiding paralysis by analysis, setting clear success criteria, and committing to 90 day action plans that actually move the needle.

If you have been wondering whether you need to spend more on marketing or simply execute better on what matters most, this conversation will challenge how you think about growth and give you a clear next step to act on.

Have a question you'd like us to address in a future episode? Submit it here!

Resources:

Download the Practice Owner's Financial Toolkit

20/20 Money Ultimate Financial Success Masterclass

OD Mastermind Interest Form

Check out Adam's new book: How to Buy an Optometry Practice

Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro

Subscribe on Spotify: https://shorturl.at/jCtsk

In this episode, we talk about what it takes to grow a practice by bringing on an associate OD. We discuss timing, compensation structures, production models, and the importance of culture and long term alignment. We also share practical insight into recruiting, leadership, and creating opportunities that benefit both the practice and the associate. If growth is on your radar, this conversation offers a helpful inside look at how we think about it.

Have a question for us to address in a future episode? Submit it here!

Resources:

1. What is "schedule health" and why should practice owners be measuring it

2. Download the Practice Owner's Financial Toolkit

3. 20/20 Money Ultimate Financial Success Masterclass

4. OD Mastermind Interest Form

5. Check out Adam's new book: How to Buy an Optometry Practice

Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro

Subscribe on Spotify: https://shorturl.at/jCtsk

In this episode, we share how to confidently give patients clear choices in the exam lane without creating confusion or pushback around vision and medical care. We explain how setting expectations early and taking ownership of clear communication builds trust and increases acceptance of follow up visits. We also touch on how to structure your schedule to support shorter, more frequent visits and why giving patients ownership of their decisions improves both the patient experience and practice profitability.

Have a question that might be featured on a feature episode? Submit it here

Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro

Subscribe on Spotify: https://shorturl.at/jCtsk