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A chiropractic industry thought leader suggests a shift in how chiropractors measure patient retention and success. The author argues that traditional metrics like Patient Visit Average (PVA) and pre-paid care plans are outdated in today's volatile healthcare market. Instead, chiropractors should segment their patient base and focus on Lifetime Value per Patient Type and the time it takes to recoup patient acquisition costs. This new perspective emphasizes understanding different patient behaviors, such as loyalty and likelihood to refer, rather than treating all patients as having the same "recurring" potential. The text encourages a more nuanced approach to patient care and business strategy, moving away from rigid benchmarks towards understanding actual patient engagement and profitability.