Medicaid is the lifeblood of many ABA practices, but thriving on thin margins takes more than just managing claims and chasing reimbursements. It takes disciplined operations, smart financial insight, and a people-first culture that can weather uncertainty. In this episode, Ethan Schwarzbach (CEO, Flychain) sits down with Charlene Kurth (COO, Office Puzzle) to explore what it really takes for ABA practices to build sustainable, mission-driven businesses in today’s Medicaid landscape. They discuss the intersection of operational discipline, financial strategy, and culture - and how leaders can find balance between heart and business.
We talked about:
Aligning mission and margin to build sustainable ABA practices.
Designing operations around Medicaid rules to prevent denials and cash delays.
Turning small operational fixes into major efficiency gains.
Using data the same way clinicians use behavioral insights—to drive business results.
Culture as the real growth engine: empowering teams through trust and transparency.
Leadership lessons on empathy, authenticity, and leading by example.
Seeing caregivers and clinicians as business assets, not expenses.
How early investment in systems and financial visibility fuels long-term growth.
Connect with Flychain:LinkedIn (Ethan Schwarzbach): https://www.linkedin.com/in/ethan-schwarzbach-baa09571/Website (Flychain): https://www.flychain.us/
Email: info@flychain.us
Connect with Office Puzzle:LinkedIn: https://www.linkedin.com/in/charlenekurth
Website: https://www.officepuzzle.com
