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.

• 00:00:50 – Introduction to the episode
• 00:01:42 – Quick announcement about the upcoming Master Class
• 00:04:07 – Jumps into the topic
• 00:04:47 – Submitting fee schedule to a PPO plans
• 00:05:48 – Answer to the question
• 00:07:35 – Negotiated fee schedule
• 00:10:30 –  Rearranging the deck chairs in Titanic
• 00:13:05 – The 5000-pound bully in the room
• 00:14:15 – Replace delta as a new source of  new patients with Google
• 00:15:14 – Another dimension of the conversation

Learn more about the Masterclass