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Negotiated Fee Schedules - Truth or Fiction?

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Manage episode 435552229 series 3560564
Contenido proporcionado por Naren Arulrajah and Less Insurance Dependence. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Naren Arulrajah and Less Insurance Dependence o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.

In this episode of the Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah discuss "Negotiated Fee Schedules: Truth or Fiction."

Historically, until around 2011 or 2012, dentists had some success negotiating fees with PPO plans. However, in recent years, insurance companies have largely stopped negotiating fees, leaving dentists with limited options. Gary explains that while insurance companies generally refuse to negotiate when asked directly, there has been a recent shift. In some cases, after a dentist resigns from a PPO plan, the insurance company might reach out with an offer to renegotiate the fee schedule in an attempt to retain the dentist within their network.

The key takeaway is that while negotiated fee schedules can be a reality, they require persistence, strategic resignation, and careful consideration. Gary concludes by advising dentists to be cautious and prepared to follow through with their resignation if negotiations do not yield acceptable results, highlighting that this approach is not one to be taken lightly.

  continue reading

100 episodios

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iconCompartir
 
Manage episode 435552229 series 3560564
Contenido proporcionado por Naren Arulrajah and Less Insurance Dependence. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Naren Arulrajah and Less Insurance Dependence o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.

In this episode of the Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah discuss "Negotiated Fee Schedules: Truth or Fiction."

Historically, until around 2011 or 2012, dentists had some success negotiating fees with PPO plans. However, in recent years, insurance companies have largely stopped negotiating fees, leaving dentists with limited options. Gary explains that while insurance companies generally refuse to negotiate when asked directly, there has been a recent shift. In some cases, after a dentist resigns from a PPO plan, the insurance company might reach out with an offer to renegotiate the fee schedule in an attempt to retain the dentist within their network.

The key takeaway is that while negotiated fee schedules can be a reality, they require persistence, strategic resignation, and careful consideration. Gary concludes by advising dentists to be cautious and prepared to follow through with their resignation if negotiations do not yield acceptable results, highlighting that this approach is not one to be taken lightly.

  continue reading

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