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.

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

Recent Posts

Practical Tips to Drive Patient Volume II - Fall 2020

Read practical tips to drive patient volume this fall. Tip #2, find hygiene appointments to fill the schedule.

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
Practical Tips to Drive Patient Volume - Fall 2020

Read practical tips to drive patient volume this fall. Tip #1, continue to communicate your offices protocols to keep patients safe.

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
CARES Act Provider Relief Fund

Dental providers affected by COVID have a number of resources available to support their successful re-opening. CARES Act monies are available through August 3, 2020.

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

Ready to learn more?

Let us help you get better insights into your marketplace so you can make more informed decisions.

Call us at 877.955.2537 or click the button below.

Let's Talk

We are happy to provide you with a free consultation and talk about your business goals.