The choice between insurance-based and fee-for-service healthcare can shape everything from patient flow and profitability to branding and long-term practice value. In this episode, Christy and Charles break down the risks and benefits of PPO and FFS models, including how PPO participation can support steady new patient flow while increasing network competition, while FFS practices may offer more pricing control, stronger margins, and a more personalized patient experience. They also discuss what buyers should evaluate during a practice transition, why seller goodwill and transferable contracts matter, and how owners can thoughtfully approach a shift from PPO to FFS over time.