Dropping PPO Plans? Step 2 - Doing the Math

Many dental practices are focused on PPO negotiations to maximize reimbursements. Yet, negotiating reimbursement rates is only part of a comprehensive PPO participation strategy. When developing an insurance participation strategy for your practice, often times it makes sense to consolidate participation. Thus, the opportunity presents itself to leave PPO plans!
Othertimes, providers are at capacity or at their wits end and want to drop PPO’s. Making a sound decision to leave PPO plans comes down to math. In this episode, Five Lakes Founder and President Nick Partridge will discuss the different calculations needed to:

  • Compare payer fee schedules
  • Calculate production per patient
  • Calculate estimated break-evens

While no one enjoys a solid 7 minutes of math, these calculations are essential to beginning to put a plan in place to leave PPO’s.

Five Lakes has been helping practices implement their optimal insurance participation strategy for over 10 years. Please feel free to connect with us if you have questions or are considering leaving plans and want to do it the right way to avoid losing too many patients, negatively impacting cash flow or creating too many holes in the schedule.

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Many dental practices are focused on PPO negotiations to maximize reimbursements. Yet, negotiating reimbursement rates is only part of a comprehensive PPO participation strategy. When developing an insurance participation strategy for your practice, often times it makes sense to consolidate participation. Thus, the opportunity presents itself to leave PPO plans!
Othertimes, providers are at capacity or at their wits end and want to drop PPO’s. Making a sound decision to leave PPO plans comes down to math. In this episode, Five Lakes Founder and President Nick Partridge will discuss the different calculations needed to:

  • Compare payer fee schedules
  • Calculate production per patient
  • Calculate estimated break-evens

While no one enjoys a solid 7 minutes of math, these calculations are essential to beginning to put a plan in place to leave PPO’s.

Five Lakes has been helping practices implement their optimal insurance participation strategy for over 10 years. Please feel free to connect with us if you have questions or are considering leaving plans and want to do it the right way to avoid losing too many patients, negatively impacting cash flow or creating too many holes in the schedule.

Five Lakes Dental Practice Solutions
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Dropping PPO Plans Step 5 - The Aftermath

Join Five Lakes Founder and President Nick Partridge as he discusses what to do now that you've submitted your PPO termination letter.

Many dental practices are focused on PPO negotiations to maximize reimbursements. Yet, negotiating reimbursement rates is only part of a comprehensive PPO participation strategy. When developing an insurance participation strategy for your practice, often times it makes sense to consolidate participation. Thus, the opportunity presents itself to leave PPO plans!
Othertimes, providers are at capacity or at their wits end and want to drop PPO’s. Making a sound decision to leave PPO plans comes down to math. In this episode, Five Lakes Founder and President Nick Partridge will discuss the different calculations needed to:

  • Compare payer fee schedules
  • Calculate production per patient
  • Calculate estimated break-evens

While no one enjoys a solid 7 minutes of math, these calculations are essential to beginning to put a plan in place to leave PPO’s.

Five Lakes has been helping practices implement their optimal insurance participation strategy for over 10 years. Please feel free to connect with us if you have questions or are considering leaving plans and want to do it the right way to avoid losing too many patients, negatively impacting cash flow or creating too many holes in the schedule.

Five Lakes Dental Practice Solutions
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Planning Your PPO Negotiations

Five Lakes PPO negotiations are an important part of a comprehensive PPO participation strategy. Our unique 20-point process has yieled successful results to thousands of dental practices. Click to learn more about our 20-point PPO negotiation process.

Many dental practices are focused on PPO negotiations to maximize reimbursements. Yet, negotiating reimbursement rates is only part of a comprehensive PPO participation strategy. When developing an insurance participation strategy for your practice, often times it makes sense to consolidate participation. Thus, the opportunity presents itself to leave PPO plans!
Othertimes, providers are at capacity or at their wits end and want to drop PPO’s. Making a sound decision to leave PPO plans comes down to math. In this episode, Five Lakes Founder and President Nick Partridge will discuss the different calculations needed to:

  • Compare payer fee schedules
  • Calculate production per patient
  • Calculate estimated break-evens

While no one enjoys a solid 7 minutes of math, these calculations are essential to beginning to put a plan in place to leave PPO’s.

Five Lakes has been helping practices implement their optimal insurance participation strategy for over 10 years. Please feel free to connect with us if you have questions or are considering leaving plans and want to do it the right way to avoid losing too many patients, negatively impacting cash flow or creating too many holes in the schedule.

Five Lakes Dental Practice Solutions
Stay up-to-date!
Curated content to your inbox daily

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