Cigna is pulling out of 11 states, and 369,000 people are going to be impacted. In this episode, I'm talking through what this means from a business perspective, especially for private practice owners and healthcare entrepreneurs who are trying to build sustainable practices in an unpredictable healthcare economy. This conversation is about payer moves, patient access, contracts, cash flow, team impact, and the way healthcare businesses have to prepare before the next major shift happens. Whether Cigna directly impacts your practice or not, this is your reminder to look at your business through three lenses: you as the owner, the patients and clients you serve, and the team you lead. The practices that sustain through seasons like this are led by CEOs who know their numbers, understand their contracts, pay attention to the healthcare landscape, and build revenue models that can weather change.

➡️ My Profit Playbook workshop is happening on June 17th from 2–4 PM E.T. … and it's free. If your practice still runs through you, I'll show you where your profit is leaking and how to lead in a way that gives you your time, energy, and margin back – save your seat now!

Some key takeaways from this episode include:

• 00:00 – Why Cigna's exit from 11 states creates a ripple effect for providers, patients, and healthcare business owners

• 02:42 – What the broken healthcare system requires from practice owners trying to lead and make business decisions inside of it

• 04:01 – Why knowing your payer contracts can protect your practice from being blindsided by marketplace changes

• 05:26 – The three lanes every CEO needs to assess when payer shifts hit the healthcare landscape

• 06:38 – How payer cost containment can quietly create more administrative pressure for your practice

• 08:02 – Why cash-pay practices still need a backup plan when the economy starts changing patient behavior

• 12:13 – What practice owners need to change about their time, leadership, and business development to stay prepared

It's time to take back your practice and own your CEO status. On the CEO Conversations™ podcast, we will cover the business side of your practice with actionable takeaways for you to implement in your practice. We will discuss: marketing, team building & leading, finances, operations & systems, YOU and everything in between.

Connect with Brandy:

• Brandy Mabra on IG

• Private Practice CEO IG

• Website

• Apply for the Private Practice CEO™ Program

When you're building the next version of your private practice, your mindset shapes the way you lead, make decisions, and execute the strategy in front of you. In this replay episode, we're revisiting conversations around money mindset, profitability, vision, faith, and preparing yourself for the practice you say you want. You'll hear from me, Monique Castro, and Shawniel Chamanlal on what it looks like to balance purpose-driven work with sustainable compensation, stand confidently in your vision, and make decisions from faith and clarity instead of fear, scarcity, or exhaustion. If you're in a season of stabilizing, rebuilding, or preparing for your next level, this episode will help you get your mind right first so you can lead with intention and move toward growth with more confidence.

Episodes included:

• Ep. 23 - Are You Prepared For The Practice You Want?

• Ep. 14 - What Are You Sitting On?

• Ep. 79 - Embracing Unapologetic Success as a Private Practice Owner with Shawniel Chamanlal

• Ep. 72 - Finding Alignment in Your Practice | Balancing Purpose-Driven Work and Profit with Monique Castro

➡️ My Profit Playbook workshop is happening on May 20th from 2–4 PM ET and it's free. If your practice still runs through you, I'll show you where your profit is leaking and how to lead in a way that gives you your time, energy, and margin back – save your seat now!

Some key takeaways from this episode include:

• 00:00 – Why your mindset has to support the strategy you're trying to implement

• 02:42 – What purpose-driven practice owners need to understand about charging sustainably

• 09:05 – My story of trusting a bigger vision even when the investment felt scary

• 10:12 – How clarity around your God-given mission can shift the way you lead your practice

• 15:14 – Why halfway believing in your vision can keep you stuck in confusion and self-doubt

• 23:20 – What it really means to prepare for the practice, opportunities, and life you say you want

• 28:26 – How delegating the tasks you hate can protect the energy you need for bigger growth

It's time to take back your practice and own your CEO status. On the CEO Conversations™ podcast, we will cover the business side of your practice with actionable takeaways for you to implement in your practice. We will discuss: marketing, team building & leading, finances, operations & systems, YOU and everything in between.

Connect with Brandy:

• Brandy Mabra on IG

• Private Practice CEO IG

• Website

• Apply for the Private Practice CEO™ Program

Servant leadership sounds good in theory, but I've lived what happens when it goes too far. In this episode, I'm breaking down how leading from a place of service can quietly turn into overextending yourself, burning out, and carrying more than you were ever meant to hold. I share how this showed up for me in both my business and my home, the moment I realized something had to change, and what it actually looks like to lead in a way that supports your team without sacrificing yourself in the process. I also talk about what it looked like to outsource, delegate, and redefine my role, not just as a CEO, but as a woman, a mom, and a partner – and how that decision changed everything about how I lead.

➡️ My Profit Playbook workshop is happening on May 20th from 2–4 PM E.T. … and it's free. If your practice still runs through you, I'll show you where your profit is leaking and how to lead in a way that gives you your time, energy, and margin back – save your seat now!

Resources mentioned:

• Chef "Reggie"

• Ep. 125 - Why You're Still Doing Everything (And Why It's Not A Delegation Problem)

Some key takeaways from this episode include:

• 00:00 – Introduction

• 02:43 – What leaders often overlook when their role expands faster than their capacity

• 04:51 – Why small moments can reveal deeper operational and emotional overload

• 05:17 – What it really takes to delegate without carrying guilt into the decision

• 07:58 – A look inside the shift from trying to do everything to leading from true strengths

• 08:27 – Why many leaders confuse service with overextension, and where that line actually sits

• 10:44 – Why constant decision-making quietly limits your ability to lead at a high level

• 13:20 – What leaders often underestimate about the role of environment in sustaining new standards

It's time to take back your practice and own your CEO status. On the CEO Conversations™ podcast, we will cover the business side of your practice with actionable takeaways for you to implement in your practice. We will discuss: marketing, team building & leading, finances, operations & systems, YOU and everything in between.

Connect with Brandy:

• Brandy Mabra on IG

• Private Practice CEO IG

• Website

• Apply for the Private Practice CEO™ Program

I've made the mistake of promoting someone too quickly, thinking their performance in one role would naturally translate into leadership. It didn't. In this episode, I walk through what it actually takes to prepare someone for leadership inside your practice. We talk about the difference between doers, owners, and leaders, why a title alone doesn't create leadership, and how rushing a promotion can create more problems than it solves. I'm sharing the real behind-the-scenes of what went wrong, what went right, and how to think more strategically about building leaders who can truly support the growth of your practice.

➡️ My Profit Playbook is happening on May 20th from 2–4 PM ET – and it's free. I'll show you how to scale your private practice from $500K to $5M by strengthening your leadership and truly learning the business side of your practice. Save your seat now and let's set you up for sustainable success this year.

Some key takeaways from this episode include:

• The real difference between a doer, an owner, and a leader, and why most promotions get this wrong

• What it's really like to promote someone who looks ready but isn't

• How to test leadership potential before ever changing someone's title

• The secret to identifying leaders your team will actually follow

• A peek into how culture fit, strengths, and skill set shape every successful promotion

• Why promoting out of exhaustion quietly damages your team and your practice

• How to think about leadership roles based on where your practice is going, not just where it is today

It's time to take back your practice and own your CEO status. On the CEO Conversations™ podcast, we will cover the business side of your practice with actionable takeaways for you to implement in your practice. We will discuss: marketing, team building & leading, finances, operations & systems, YOU and everything in between.

Connect with Brandy:

• Brandy Mabra on IG

• Private Practice CEO IG

• Website

• Apply for the Private Practice CEO™ Program

This time of year always brings the same quiet question to the surface for so many of us: can I actually step away from my practice without everything unraveling? And I don't mean stepping away while still checking emails or fielding questions, I mean truly being gone. In this episode, I'm walking you through what it really looks like to prepare your practice for your absence in a way that feels clean, supportive, and sustainable. We're using time off as a lens to look at your leadership, your systems, and how much your business still relies on you to function. Because the ability to take time away isn't about luxury, it's about whether your practice is actually built to run.

➡️ My Profit Playbook is happening on May 20th from 2–4 PM ET – and it's free. I'll show you how to scale your private practice from $500K to $5M by strengthening your leadership and truly learning the business side of your practice. Save your seat now and let's set you up for sustainable success this year.

Some key takeaways from this episode include:

• 01:38 – The secret to turning time off into a leadership test for your team

• 04:26 – The real reason you feel guilty taking time off and how it's tied to leadership identity

• 09:01 – The real behind-the-scenes of why your team may actually want you to take a break

• 09:26 – What it's really like to come back from vacation when your systems actually work

• 10:24 – An exclusive peek into the six-step process that makes stepping away feel clean and supported

• 10:34 – How to prepare your practice to run without you before you ever book the trip

It's time to take back your practice and own your CEO status. On the CEO Conversations™ podcast, we will cover the business side of your practice with actionable takeaways for you to implement in your practice. We will discuss: marketing, team building & leading, finances, operations & systems, YOU and everything in between.

Connect with Brandy:

• Brandy Mabra on IG

• Private Practice CEO IG

• Website

• Apply for the Private Practice CEO™ Program

I know you've poured everything into your practice, your time, your energy, your sacrifice… but have you ever stopped to ask what would happen to it if your life changed overnight? You're building, you're growing, you're leading, but this is one of those conversations most people avoid because it feels uncomfortable, especially when it involves your relationship. On this week's episode, Gabriela Martinelli sits down with me to talk about what it really looks like to protect what you've built, not just emotionally, but financially and legally too. We're getting into the real risks practice owners face when there's no plan in place, what happens behind the scenes during a divorce, and why waiting until something goes wrong can cost you everything. If you're serious about your practice, your team, and the legacy you're creating, this is a conversation you can't afford to skip.

Gabriella E. Martinelli is a divorce financial strategist and founder of Ever After Wealth, where she helps business owners and physicians protect their practices and financial futures before, during, and after divorce. With over 20 years of experience and a background working inside family law firms, she brings a rare blend of financial strategy and real-world insight to high-stakes decisions that impact wealth, business ownership, and legacy.

Connect with Gabriella:

• Website

• Podcast

• gabriella@everafterwealth.com

➡️ My Own Your CEO Status™ Masterclass is happening on April 28th from 6–7 PM ET – and it's free. I'll show you how to scale your private practice from $500K to $5M by strengthening your leadership and truly learning the business side of your practice. Save your seat now and let's set you up for sustainable success this year.

Some key takeaways from this episode include:

• 00:00 – Why protecting your practice isn't optional

• 03:49 – How to actually start the "uncomfortable" conversation

• 07:16 – What happens when your spouse is on payroll

• 13:53 – The biggest financial mistake practice owners make

• 16:20 – Why you need a business valuation before marriage

• 20:14 – What "goodwill" really means for your practice value

• 23:58 – How postnuptial agreements protect your practice

• 27:42 – The real financial risk of divorce settlements

• 31:00 – Why your CPA isn't enough for this conversation

• 36:05 – The cost of fighting vs. being strategic

• 39:23 – What co-founders MUST plan for in advance

• 41:20 – How protection creates peace of mind

It's time to take back your practice and own your CEO status. On the CEO Conversations™ podcast, we will cover the business side of your practice with actionable takeaways for you to implement in your practice. We will discuss: marketing, team building & leading, finances, operations & systems, YOU and everything in between.

Connect with Brandy:

• Brandy Mabra on IG

• Private Practice CEO IG

• Website

• Apply for the Private Practice CEO™ Program

Have you ever looked at your day and realized you were busy the entire time… but nothing actually moved forward? You've been checking tasks off, answering questions, putting out fires, but the vision, the strategy, the leadership piece keeps getting pushed to the side. Can you relate? I get it. So many practice owners think they're leading when they're really just operating at a high level of "doing." In this episode, I break down the real difference between running a practice and actually leading one. And it's not just about delegating tasks or hiring a team. It's about how you show up, how your team operates when you're not in the room, and whether your practice is truly set up to scale. We're unpacking the razor-thin line between the two, the leadership identities that might be keeping you stuck, and what it really takes to move from firefighter to visionary. If you've been stuck in the day-to-day, constantly pulled back into operations, or questioning why your team still depends on you for everything, this episode is exactly what you need to hear.

➡️ My Own Your CEO Status™ Masterclass is happening on April 28th from 6–7 PM ET – and it's free. I'll show you how to scale your private practice from $500K to $5M by strengthening your leadership and truly learning the business side of your practice. Save your seat now and let's set you up for sustainable success this year.

Some key takeaways from this episode include:

• 00:00 – The real difference between leading and just "doing more"

• 05:05 – Why being busy isn't the same as being effective

• 5:56 – What your calendar is really saying about your leadership

• 08:52 – How to test if you're truly leading your practice

• 09:10 – What it actually means to create leaders inside your team

• 10:22 – The shift from task delegation to decision delegation

• 10:44 – The hidden cost of decision fatigue

• 11:48 – A peek into the five leadership identities

• 14:01 – What you can do right now to step out of the weeds

It's time to take back your practice and own your CEO status. On the CEO Conversations™ podcast, we will cover the business side of your practice with actionable takeaways for you to implement in your practice. We will discuss: marketing, team building & leading, finances, operations & systems, YOU and everything in between.

Connect with Brandy:

• Brandy Mabra on IG

• Private Practice CEO IG

• Website

• Apply for the Private Practice CEO™ Program

Have you ever looked at your team and thought… something feels off, but you can't quite explain it, like you've been growing but your team hasn't grown with you? Can you relate? Because this is one of the hardest parts of leadership, especially as a heart-centered CEO who genuinely cares about your people and the roles they've played in your journey. In this episode, I'm unpacking the truth that the team that got you here may not be the team that gets you there, sharing a personal story from my early team and walking you through the two paths every CEO has to navigate when alignment starts to shift. And it's not just about letting people go, it's about clarity, leadership, and making decisions that support the next level of your business. If you've been avoiding a conversation, feeling tension on your team, or questioning whether you have the right people in the right seats, this episode is for you.

➡️ My Own Your CEO Status™ Masterclass is happening on April 14th from 6–7 PM ET – and it's free. I'll show you how to scale your private practice from $500K to $5M by strengthening your leadership and truly learning the business side of your practice. Save your seat now and let's set you up for sustainable success this year.

Resources mentioned:

• Ep. 11 - Is Your Team An Asset Or A Liability?

Some key takeaways from this episode include:

• 00:00 – The truth about why the team that got you here… won't get you there

• 01:53 – What it really looks like to outgrow your team… or be outgrown

• 05:19 – The emotional side of leadership no one talks about… and how to navigate it

• 05:52 – The two paths every CEO must face when a team member no longer fits

• 09:03 – How to use growth conversations to uncover what your team actually wants

• 09:58 – A behind-the-scenes look at creating clarity with org charts, roles, and next steps

• 12:23 – Why accountability makes hard conversations easier… not harder

• 13:34 – What it takes to shift culture when your business is evolving

• 13:10 – The real reason your "original team" can start to slow down your growth

• 14:52 – What you need to accept if you truly want to scale your business

It's time to take back your practice and own your CEO status. On the CEO Conversations™ podcast, we will cover the business side of your practice with actionable takeaways for you to implement in your practice. We will discuss: marketing, team building & leading, finances, operations & systems, YOU and everything in between.

Connect with Brandy:

• Brandy Mabra on IG

• Private Practice CEO IG

• Website

• Apply for the Private Practice CEO™ Program