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In this episode of The Less Insurance Dependence Podcast, hosts Gary Takacs and Naren Arulrajah tackle the question of why PPO plans have not raised fees or yearly maximums in 25 years. They attribute this stagnation to insurance companies’ greed, emphasizing the industry’s profit-driven nature. Despite this, they offer insights and strategies for dental practices looking to reduce their dependence on insurance plans and transition to a fee-for-service model.

Gary and Naren address common concerns of dentists, such as drawing enough fee-for-service patients and surviving in states like California, where insurance economics may need to align with practice viability. They highlight the importance of mastering organic search engine optimization to attract new patients from sources like Google rather than relying solely on PPO plans for patient referrals. By emphasizing the value of quality care and creating positive patient experiences, practices can effectively transition away from insurance dependence.

Episode Timestamps

  • 00:50 – Introduction to “The Less Insurance Dependence” podcast.
  • 01:19 – Introduction to the topic: “Why Haven’t PPO Plans Raised Fees or Yearly Maximums in 25 Years?”
  • 01:29 – Announcement regarding a Master Class; Title:  Creating a Relationship Driven Practice, Date: 16th of July 2024, Time: 08:00 – 10:00 PM ET.
  • 04:10 – Direct answer to the question in the topic;  “Why Haven’t PPO Plans Raised Fees or Yearly Maximums in 25 Years?”
  • 05:05 – Discussion on the history of Dental Insurance.
  • 09:21 – Answer for the first question; How  do I draw patients without PPO  plans?
  • 12:22 – Invitation to Book a Marketing Strategy Meeting.
  • 13:16 –  Answer for the second question; Can PPO offices survive in California with decreasing reimbursement?
  • 15:22 – Answer for the third question; How to deal with the mindset of patients who never had to pay anything out of pocket for care?
  • 18:12 – Invitation to Book a Coaching Strategy Meeting.


Gary Takacs

Gary Takacs One of Gary's most significant achievements as a dental practice management coach is transforming his own practice, LifeSmiles, from one that was infected with PPO plans, no effective marketing strategy, and an overhead of 80% to a very successful dental practice that is currently one of the top-performing practices in the US.

With over 2,200 coaching clients, Gary has first-hand experience transforming insurance-dependent practices into thriving and profitable practices.

Through his Personalized Coaching Program, Gary shares access to the systems, strategies, processes, and experience gained over 41 years of coaching dentists and transforming over 2200 practices worldwide.

Learn More:
Connect with Gary Takacs on Linkedin

Naren Arulrajah

Naren ArulrajahAs CEO of Ekwa Marketing, Naren has over a decade of experience working with dental practices and helping them attract the ideal type of patients to their practices. It is his goal to help dentists do more of the type of dentistry they love with the help and support of effective digital marketing.

Ekwa’s "Done-For-You" Digital Marketing model blends fundamental persuasion principles with an all-in-one Digital Marketing solution to help your ideal patients find you and choose you for reasons other than being on their insurance plan.

If you’re interested in finding out if Ekwa is the right fit for you and your practice, book a Free Marketing Strategy Meeting with Ekwa’s Marketing Director, Lila Stone.

Book Free Marketing Strategy Meeting:

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