In this episode, the hosts delve into the significant changes in insurance plans for the new year. The discussion covers the response to the mass exodus of doctors from networks, the industry’s fear of losing in-network providers, and anticipated policy shifts. Insurance expert Ben Tuinei emphasizes the need for improvements in financial relief and reduced denials for doctors, expressing hope for positive changes in 2024 but acknowledging the ongoing contention between insurance companies and doctors. Additionally, they touch on the potential elimination of third-party representatives and the importance of dentists adopting an aggressive approach in negotiating fees and considering going out of network.
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Time stamps
- 00:01:28 – How are insurance plans responding to the mass exodus of doctors going out of network?
- 00:14:06 – It’s rumored that many PPOs don’t deal with representatives of a doctor and will only negotiate fees with doctors directly. Is that changing this year?
- 00:20:58 – With the continued rise in overhead expenditures and inflated prices for supplies and wages, what are in-network doctors doing with insurance to be more profitable?
- 00:25:55 – What resources or solutions do you have available for our listeners so they can learn more about ways they can play the PPO game in a more efficient manner in 2024 and beyond?
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