Dr. Chris Spinella built his early career owning an insurance based chiropractic practice. The work was steady, but the margins were thin. Low reimbursements meant high volume, long days, and constant pressure to see more patients just to stay afloat.

Then everything changed.

After a major insurance company mishap, Chris lost more than $50,000 in unpaid claims. Money that had already been earned simply disappeared. That moment forced a hard look at the business he had built and the risks he was carrying without realizing it.

Chris knew he wanted out of the insurance model, but the transition was not easy. He worried about losing patients. He worried about his staff. He worried about supporting his family. Despite the fear, he had a strong conviction that a cash based model was the right path forward.

Instead of easing into it halfway, Chris committed fully. He invested heavily in business education, refined his clinical skills, and even became a patient at Justin’s practice to experience the model firsthand from the other side.

The result was a successful transition.

By clearly communicating the value of the new model, Chris retained many of his existing patients. Over time, he expanded into a larger facility and brought on an associate, creating a business that supported both growth and quality of care.

In this episode, Chris shares what it really takes to leave insurance behind and why conviction matters more than comfort.

Here’s what we talk about:

Life inside an insurance driven chiropractic practice

The $50,000 insurance loss that changed everything

The fears that come with leaving insurance behind

Why conviction matters when changing your business model

Investing in education to support a major transition

Retaining patients through clear communication

Expanding into a larger facility and hiring an associate

Helping other chiropractors make the move to cash care

Chris’s story shows what can happen when you commit fully to a model that aligns with your values and your long term goals.

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Your Host: Justin Rabinowitz

Founder of RehabChiro Coach.

Justin works with chiropractors and clinic owners to build profitable, scalable practices rooted in clear business models and disciplined execution.

How Chris Spinella Lost $50,000 to Insurance and Deciding to Go All In on Cash Care