In this episode, the focus is on recent changes in insurance contracts affecting dental practices. Key shifts include extended termination notice periods, now ranging from 120 to 180 days, compared to the traditional 60 to 90 days. This change is a response to the increasing number of doctors leaving insurance networks. Additionally, new contracts are introducing minimum participation requirements of 12 to 24 months, with some extending to 36 months. These modifications reflect a trend by insurance companies to retain providers longer. Dental practitioners must carefully review and negotiate these terms to avoid unfavorable conditions.
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Time stamps
- 00:01:12 – Termination clauses: 60—to 90-day termination notice is considered normal. What are some changes you are seeing with termination clauses?
- 00:03:48 – Are insurance plans now including minimum participation requirements, such as a minimum of 12 or 24 months of participation without the option to terminate?
- 00:05:48 – Do re-credentialing contracts now include 12-month minimum participation requirements?
- 00:11:57 – When you see these types of unreasonable clauses within insurance contracts, what are your options?
- 00:12:30 – Are PPO contracts unilateral, where only insurance can modify or change the agreements?
- 00:14:13 – Where can listeners learn more if they have questions about their own insurance-related agreements?
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