Author: Cindy Trawinski
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Should You Remain Private Pay? Before You Change Your Business Model, Ask Yourself These Questions
As Illinois HB 1085 brings the prospect of higher reimbursement rates for many commercially insured psychotherapy services, I have started hearing a new question from private-pay practice owners: Should I join insurance panels?
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Managing Third-Party Contractor Relationships in Your Private Practice
The purpose of hiring a contractor isn’t to avoid daily decisions about billing, SEO, or marketing. It’s to free you from doing work someone else can do better so that you have more time and energy to do the work only you can do.
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Illinois HB 1085: How Illinois Therapy Practices Should Prepare Before 2027
HB 1085 is coming. Here’s what Illinois therapy practice owners should do now to understand their payer mix, review rates, and model the financial impact.
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Illinois HB1085: Higher Reimbursement is Coming, But Practices Must Plan to Benefit
Illinois HB 1085 will raise reimbursement rates for many behavioral health services starting in 2027. For psychotherapy practice owners, that’s meaningful progress. It’s also a reason to look closely at whether your current compensation model and business structure are ready for it.
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Shared Metrics and Financial Transparency in Therapy Practice Ownership
This is Part 3 of a three-part series on the inner and structural dimensions of owning a psychotherapy practice. Part 1 examines the emotional weight many owners carry, particularly around money and legitimacy. Part 2 reframes margin as a function of stewardship rather than self-interest.
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Margin as Stewardship: Building Financial Stability That Supports Care
The second challenge we face as psychotherapy practice owners is financial stability. The second in a 3-part series that explores guilt, margin, and sustainable leadership in psychotherapy practice.
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Ownership as Stewardship: The Emotional Weight of Practice Ownership
For many psychotherapy practice owners, the first challenge we face as leaders is emotional. The first in a 3-part series that explores guilt, margin, and sustainable leadership in psychotherapy practice.
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1099 Contractors vs. W-2 Employee Classification: What Psychotherapy Practice Owners Need to Know
If you’re a psychotherapy practice owner, you’ve probably heard the advice from colleagues: “Just hire therapists as 1099 contractors—it’s cheaper and you have less liability.” This article looks at common errors and misconceptions and the difference between 1099 contractors and W-2 hires.
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Managing Therapist Productivity: A Guide for Practice Owners
This article explores how to set clear expectations from the start, monitor performance effectively, and address underperformance with confidence and fairness.
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Year-End Review for Therapy Practice Owners: Finding the Learning in What Actually Happened
This article guides therapy practice owners through a practical year-end review process that uncovers valuable insights and patterns. Learn how to examine your practice numbers, operations, team dynamics, and your own experience as an owner.








