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Negotiated Fee Schedules - Truth or Fiction?

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Manage episode 435552229 series 3560564
Content provided by Naren Arulrajah and Less Insurance Dependence. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Naren Arulrajah and Less Insurance Dependence or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://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

101 episodes

Artwork
iconShare
 
Manage episode 435552229 series 3560564
Content provided by Naren Arulrajah and Less Insurance Dependence. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Naren Arulrajah and Less Insurance Dependence or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://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

101 episodes

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