PPO Strategy

Are PPO Plans Softening Their Stance on Negotiating?

In this episode, Gary and Naren delve into the complex world of negotiating with dental insurance PPO plans. They shed light on insurance companies’ secretive tactics to keep dentists uninformed about fee schedules and their reluctance to intervene. The discussion revolves around whether PPO plans are softening their stance on negotiation. They share that while insurance companies typically deny negotiation requests, recent trends indicate a subtle shift. Some PPO plans have started reaching out to dentists considering resigning and proposing negotiated fee schedules as a last-ditch effort to retain them. Gary stresses the importance of dentists building their confidence, exploring alternative patient acquisition strategies, and not hesitating to stand up to insurance bullies. He emphasizes the significance of attracting patients for reasons beyond being in-network, advocating for using Google searches instead of PPO directories. Overall, they dissect the evolving landscape of PPO plan negotiations and provide insightful strategies for dental professionals to navigate these changes.

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Based on Episode 256 of the Less Insurance Dependence Podcast. Listen to the original episode →

Naren Arulrajah

Reviewed by

Naren Arulrajah

CEO & Founder, Ekwa Marketing

Naren Arulrajah is the CEO and Founder of Ekwa Marketing, a 300-person dental marketing agency that has helped hundreds of practices grow through SEO, reputation management, and digital strategy. A published author of three books on dental marketing, contributor to Dentistry IQ, co-host of the Thriving Dentist Show and the Less Insurance Dependence Podcast, and a member of the Academy of Dental Management Consultants. He has spent 19 years focused exclusively on helping dental practices succeed online.

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