In this episode of the Insurance Untangled podcast, Naren welcomes Ben to discuss the rise of umbrella networks and network affiliations among PPOs. Ben explains that umbrella networks involve PPO plans leasing their networks to independent insurance companies, allowing providers to be in-network with multiple companies through one contract. He outlines the reasons behind this trend, including the increasing number of doctors dropping PPO networks and insurance companies’ efforts to maintain in-network providers. Ben also highlights the importance of understanding contractual terms and potential impacts on fees and reimbursements for both dentists and patients. For more information, please visit Veritas Dental Resources.
Podcast: Play in new window | Download
Time stamps
- 00:01:27 – Can you explain what an umbrella network is?
- 00:02:56 – Nearly every month this year, dentists have been getting notices about PPO plans engaging in “leasing” agreements with each other. In other words, more and more PPOs are engaging in umbrella network relationships. Why is this suddenly happening more often?
- 00:06:36 – Will Delta ever lease its network to other PPOs?
- 00:09:42 – How many major umbrella networks exist, and can you list their names?
- 00:11:49 – So, if umbrella networks are becoming the way of the future, what advice would you give dentists who are looking to maximize their umbrella network relationships?
- 00:15:39 – What resources do you have for listeners who are interested in learning more about this topic?
Resources
