Episode #258: Actual Data from a Dental Practice that Has Successfully Dropped PPO Plans
In this episode, Gary and Naren discuss the changing dynamics between dental practices and Delta, a dental insurance organization. They draw a parallel to boxing, with Delta being on the ropes, meaning they face challenges and are in a defensive position. Historically, Delta had the upper hand, taking advantage of dentists who felt they had no choice but to participate. However, the tide is turning, and dentists are gaining leverage. Evidence of this includes Delta allowing the assignment of benefits to the dentist when out of network, which was previously not the case. The discussion also highlights the influence of employers who purchase insurance policies, as they hold power over Delta. Legislative changes and administrative pressures are further forcing Delta to adapt. Despite these positive shifts, the episode emphasizes that Delta’s fee schedules continue to decline, causing profitability concerns for dental practices. They encourage dentists to evaluate their insurance plans strategically and consider resigning from Delta, sharing success stories of practices that have successfully reduced their insurance dependence.