The Flychain Reaction Podcast

What does it really take to scale an ABA organization — and what happens when the systems, people, and financial infrastructure can't keep up with ambition? In this fireside chat on The Flychain Reaction, Flychain CEO Ethan Schwarzbach sits down with Ben Wessels, former owner and operator of Early Autism Services and Founder of Arohana Support Services, to talk honestly about the realities of growth. Ben built a multi-state ABA organization across 16 states before exiting — and now invests in and advises ABA businesses. He brings a rare, unfiltered perspective on the trade-offs operators don't always realize they're making, the leadership decisions that compound over time, and why financial clarity becomes non-negotiable as complexity rises.

Financial resilience in healthcare doesn't happen by accident. It's built through clean billing, fast reimbursements, and the ability to detect disruptions before they become crises. In this episode of The Flychain Reaction, Flychain CEO Ethan Schwarzbach sits down with Nathan Lee, CEO of Camber Health, to explore what it really takes for ABA practices to build a financially stable foundation. Together, they unpack the most common medical billing pitfalls, share real stories from the field — including the fallout from the Change Healthcare cyberattack and TRICARE disruptions — and explain how the Flychain–Camber partnership closes the loop between billing and financial reporting for ABA providers.

For many ABA practices, Medicaid isn't just one payer — it's the entire revenue foundation. But thriving on Medicaid reimbursement rates requires more than billing accuracy and claims management. It takes disciplined operations, smart financial insight, and a culture built to weather uncertainty. In this episode of The Flychain Reaction, Flychain CEO Ethan Schwarzbach sits down with Charlene Kurth, Chief Operating Officer of Office Puzzle, to explore what it really takes for ABA practices to build sustainable, mission-driven businesses in today's Medicaid landscape. They discuss how to design operations around Medicaid requirements, why culture is a growth engine, and how data — used the way clinicians use behavioral data — can drive better business outcomes.

What does it actually take to scale a home care business without burning out — or losing control? Emily Isbell has done it: she grew her organization to seven locations and over one million hours of care per year, and now she helps other home care owners do the same. In this episode of The Flychain Reaction, Flychain CEO Ethan Schwarzbach sits down with Emily to trace her journey from caregiver to multi-location owner, through a moment of near-burnout in 2016, and out the other side with a clearer understanding of the difference between being a good leader and a good manager. Emily shares the systems, KPIs, and delegation strategies that transformed her business — and the insights she now passes on through her consulting practice and her book, The 24/7 Solution.

Big tax changes are here — and they could directly affect your healthcare practice's bottom line. In this episode of The Flychain Reaction, Flychain's Simone Deverall and Jaime Deverall sit down with Patrick Elliott, Certified Financial Planner at Uprise, to cut through the complexity of the One Big Beautiful Bill Act (OBBBA) and highlight the provisions that matter most for small-to-medium healthcare providers. No need to sift through hundreds of pages of tax code — this episode delivers the clarity practice owners need to make informed decisions about what they owe, what they keep, and how to plan for the years ahead.

What separates a good home care agency from an exceptional one? According to Becky Reel, it comes down to five core principles — and it starts with the owner reclaiming control. In this episode of The Flychain Reaction, Flychain CEO Ethan Schwarzbach sits down with Becky Reel, Founder of Reel Home Care Consulting, to unpack the REEL Principles: the hard-won framework behind her award-winning home care agency and the coaching she now delivers to agencies across the country. From overcoming founder burnout to building caregiver loyalty and designing seamless operational systems, this episode is full of practical insights for any home care owner looking to grow with intention.

Selling your practice is one of the most significant financial decisions you'll ever make as a healthcare business owner. In this episode of The Flychain Reaction, Flychain CEO Ethan Schwarzbach sits down with Justin Outslay, Founder of Cinnamon Hill, to demystify the practice sale process — from understanding your options to finding the right buyer and positioning your practice for maximum valuation. Whether you're years away from an exit or actively exploring your options, this episode delivers the foundational knowledge every practice owner needs to approach a sale with confidence.

Building a successful ABA therapy practice takes more than clinical excellence. It demands financial clarity, operational efficiency, a strong team, and smart leadership. In this episode of The Flychain Reaction, Flychain's Simone Deverall and Ethan Schwarzbach sit down with Molly Ola Pinney and Aja Davis, Co-Founders of ABA Business Coach, to break down the four essential pillars that separate thriving ABA clinics from those that struggle. Whether you're just starting out or looking to scale, this episode is packed with tactical, real-world guidance from coaches who've helped hundreds of ABA practice owners build more resilient businesses.

A new year brings new challenges — and new opportunities — for healthcare practice owners. In this episode of The Flychain Reaction, Flychain CEO Ethan Schwarzbach joins Rajesh Voddiraju, Founder and CEO of Stitch PEO, to break down the five HR and financial priorities that will define success in 2025. From leveraging data analytics to improving employee engagement and staying ahead of compliance requirements, this episode delivers a practical roadmap for practices looking to streamline operations and build resilience in the year ahead.

Switching practice management systems is often compared to an organ transplant — high stakes, disruptive, and risky if not executed carefully. In this episode of The Flychain Reaction, Flychain's Simone Deverall and Ethan Schwarzbach sit down with Nate Maingi, CEO and Co-Founder of TherapyIQ, to unpack the financial and operational hurdles behavioral health providers face during EMR, RCM, or practice management transitions. They explore how to avoid cash flow disruptions, what questions to ask before you switch, and how Flychain's Transition Financing Program can bridge the financial gap during this critical process.

Staff turnover is one of the most persistent and costly challenges facing ABA therapy providers today. In this panel episode of The Flychain Reaction, Flychain Head of Growth Simone Deverall leads a conversation with Gabriella Davila and Nicole Stewart, Co-founders of Supervision Reimagined, alongside Flychain CEO Ethan Schwarzbach. Together, they share a two-pronged framework for reducing turnover: building a positive clinical work climate and ensuring the financial stability that allows practices to meet their commitments to their teams. Packed with actionable strategies, this episode connects the dots between financial health and workforce retention.

Running an ABA therapy practice isn't just about delivering high-quality care — it's about building the financial foundation that allows your business to grow and thrive. In this episode of The Flychain Reaction, Flychain CEO Ethan Schwarzbach sits down with Erica Bell, CEO of Koi Business Solutions, to unpack the essentials of budgeting and forecasting for ABA practices — from setting up your first budget to preparing for growth and expansion. Together, they explore how proactive financial planning protects your practice against disruptions, how to structure budgets that balance payroll and overhead, and why understanding your CPT code profitability is a game-changer for long-term sustainability.