The Insurance Untangled podcast focuses on dental insurance, particularly the challenges faced by PPO-dependent practices. In this episode, Host Naren Arulrujah and featuring Guest Ben Tuinei discuss PPO fee negotiations in 2023, highlighting significant changes and the reasons behind them. They explore the growing trend of dentists going out of network and its impact on insurance companies, emphasizing the importance of balance between doctors and insurers. Learn the role of Delta Dental and the evolving dynamics between dentists and insurance companies, and the future fee trends, considering collective actions by dentists and potential shifts in power dynamics.
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Timestamps
- 00:03:37 – 2023 PPO fee trends: up or down?
- 00:5:56 – The causes of shifts when fees are increased or stabilized in the market.
- 00:08:20 – Where will fee trends go over the next 5 years?
- 00:11:27 – What’s going on with Delta across the country as it pertains to fees?
- 00:13:57 – Are doctors increasingly joining or leaving PPO networks?
- 00:15:56 – Tips on how doctors can negotiate fees on their own.
- 00:19:02 – Are DSO still being favored with higher PPO fees?
- 00:20:11 – Where can doctors learn more about negotiating PPO fees
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