Decision Time: Should You Stay In-Network with PPOs?

Rushi Trivedi, MFin, MCS

August 2024 Course - Expires Tuesday, August 31st, 2027

Web Only

Abstract

Due to inflation, you’ve probably felt the rising costs in your practice in terms of payroll, product supply, and more. To make matters worse, some PPO insurances have lowered reimbursement rates. Playing the PPO/HMO game nowadays can mean working harder for less compensation and lower quality of care for your patients. Most dentists are nervous about dropping plans because they don’t want to lose patients, but eye-opening numbers reveal what value you’re actually getting out of your insurance plans and exactly what would happen if you were to go out-of-network. This webinar covers the essential “must-do’s” if you want a less insurance-dependent practice.

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CREDITS: 1 SI
COST: $0.00
PROVIDER: AEGIS Publications, LLC
SOURCE: CDEWorld | August 2024
COMMERCIAL SUPPORTER: United Concordia

Learning Objectives:

  • Explain methodology for calculating how much value each insurance plan is providing a practice, how much must be written off, and what it is costing to participate.
  • Calculate the effect on production and profitability if a practice drops a PPO plan or goes entirely out-of-network.
  • List key steps required for smoothly transitioning to fee-for-service.

Presenter Qualifications:

With a background in finance and engineering, Rushi worked on Wall Street before entering dentistry through his wife’s practice. Under Rushi’s leadership, they transformed their one small office intro two thriving practices collecting more than $7 Million per year. Rushi is currently the CEO of the Preferred Dental Care Group of Practices and is affiliated with MGE: Management Experts as a Senior Seminar Instructor.

Disclosures:

Mr. Trivedi has received an honorarium from AEGIS Publications, LLC for his preparation and presentation of this program.

Queries for the presenter may be directed to justin.romano@broadcastmed.com.