PPO
PPO Leasing: Navigating through the maze

PPO Leasing: Navigating through the maze

Many providers are still unaware of PPO leasing, how it works or how to keep it from affecting the bottom line. Dental PPO leasing has pretty much leaked it’s way into every major PPO plan and the combination options to be in network are endless.

Debunking PPO Negotiations

Debunking PPO Negotiations

Recently the ADA released a letter on negotiating and handling contract negotiations. While we appreciate the ADA’s commitment to advocating for dental practices, we found that most information included in this letter is inaccurate and has proven to be ineffective over the last couple of years.

Part 2:  Solving the PPO Puzzle

Part 2: Solving the PPO Puzzle

If you caught our article about PPO Optimization and the endless number of structural possibilities available, you’re probably wondering if this might be affecting you. If you are participating with even a handful of PPO plans, the answer is likely YES!

Solving the PPO Puzzle

Solving the PPO Puzzle

Ever seen one of these? This is the simplest way to explain the possibilities of “leasing/sharing” that can take place between insurance companies and the endless number of combinations any practice can utilize.
Each insurance company leases several other insurance.

4 Real Benefits of PPO Optimization in 2018

4 Real Benefits of PPO Optimization in 2018

Most dentists will admit to feeling trapped by dental insurance companies who continually lower reimbursement rates, question treatment plans and delay cash flow. However, they feel increased pressure to be in network because patients with dental benefits are more likely to go to the dentist.

The Power of PPO Structure Reviews

The Power of PPO Structure Reviews

Most dentists will admit to feeling trapped by dental insurance companies who continually lower reimbursement rates, question treatment plans and delay cash flow. However, they feel increased pressure to be in network because patients with dental benefits are more likely to go to the dentist, take their children to the dentist and receive restorative care than uninsured patients. Without the dental insurance companies who ensure coverage on preventative care, dental visits would decrease.

Higher PPO Reimbursements for 2018

Higher PPO Reimbursements for 2018

Most dentists will admit to feeling trapped by dental insurance companies who continually lower reimbursement rates, question treatment plans and delay cash flow. However, they feel increased pressure to be in network because patients with dental benefits are more likely to go to the dentist, take their children to the dentist and receive restorative care than uninsured patients. Without the dental insurance companies who ensure coverage on preventative care, dental visits would decrease.

$400,000 in PPO Optimization

$400,000 in PPO Optimization

PPO negotiations are tricky business. With all the third-party leasing that takes place, it is essential to be thorough with every contract and every possibility. There are infinite combinations and possibilities that can either hurt or help a practice.

Evolution of PPO Participation Through Leasing

Evolution of PPO Participation Through Leasing

It’s no secret that today, PPOs are the most common type of network-based managed care program. Providers who contract with a PPO network agree to a reduced fee in exchange for an in-network status.

The Truth about PPO Fee Negotiations

The Truth about PPO Fee Negotiations

The possibility to “negotiate” or increase your PPO fee schedules is no longer an industry secret. It’s been a very hot topic in the industry for several years now. You’ve probably sat through a presentation or seminar and heard about the secrets to negotiating with insurance companies, including demographics, insurance profiles, reputation, members and relationships that bring about leverage with the carriers. I’m here to tell you it’s all nonsense…

PPO Insurance Optimization – Solving the Puzzle Part 2

PPO Insurance Optimization – Solving the Puzzle Part 2

If you caught our last article about PPO Optimization and the endless number of structural possibilities available, you’re probably wondering if this might be affecting you. If you are participating in even a handful of PPO plans, the answer is likely YES!

PPO Insurance Optimization – Solving the Puzzle Part 1

PPO Insurance Optimization – Solving the Puzzle Part 1

Ever seen one of these…? This is the simplest way for me to explain the possibilities of “leasing/sharing” that could take place between insurance companies and the endless number of combinations any given practice can utilize…

Professional PPO Negotiators

Professional PPO Negotiators

The field of dentistry is continually evolving, becoming more competitive daily. Small and private dentists are forced to compete with corporate dental offices and multi-doctor practices. Dentists are often at the mercy of insurance companies as they drive down the price of coverage for insured patients.