100 episodes

There is an underlying precept in our country’s healthcare system that medical professionals can only survive through increased participation in insurance programs. The Less Insurance Dependence podcast series exposes that misperception, shedding light on how Dentists can thrive by breaking out of the insurance-controlled business model.

Less Insurance Dependence Podcast Less Insurance Dependence

    • Health & Fitness

There is an underlying precept in our country’s healthcare system that medical professionals can only survive through increased participation in insurance programs. The Less Insurance Dependence podcast series exposes that misperception, shedding light on how Dentists can thrive by breaking out of the insurance-controlled business model.

    How do I stay profitable after dropping PPO Plans?

    How do I stay profitable after dropping PPO Plans?

    In this episode of The Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah explore strategies for maintaining profitability after dropping PPO plans. They emphasize the dual approach of increasing revenues and decreasing expenses, noting that eliminating the high overhead of PPO adjustments is crucial.
    Gary advises focusing on building a strong hygiene department, incorporating high-value services like adult orthodontics, cosmetic dentistry, and dental implants, and using oral conscious sedation to boost treatment acceptance. He also highlights the importance of effective marketing, maximizing the use of auxiliary team members, and improving case presentation skills to increase daily production.
    The episode concludes with a discussion of the most profitable elective procedures, such as dental implants, adult orthodontics, and smile design. These services not only generate high revenue but also meet patient demands for comprehensive care. The hosts underline that with the right strategies, practices can successfully transition away from PPO plans and achieve greater profitability.

    • 22 min
    Can Your Practice Truly Survive Without Insurance?

    Can Your Practice Truly Survive Without Insurance?

    In this episode of the "Less Insurance Dependence" podcast, hosts Gary Takacs and Naren Arulrajah tackle the pressing question: Can Your Practice Truly Survive Without Insurance? The episode elaborates on four questions sent in by listeners, addressing various aspects of dealing with insurance companies, particularly focusing on Delta Dental. Gary shares his expertise and experience, shedding light on the evolving landscape of insurance, the challenges posed by Delta Dental, and strategies for managing insurance transitions effectively.
    Listeners learn about the expected changes from Delta Dental, including potential fee reductions and increased administrative burdens for providers. They also gain insights into why Delta Dental sends payments to subscribers for out-of-network patients, understanding the company's tactics to pressure providers to stay in-network.
    Furthermore, the hosts discuss the importance of effective communication with patients when considering dropping insurance plans, emphasizing the significance of face-to-face discussions and strategic planning to minimize patient loss during transitions. They highlight the need for a comprehensive approach, including coaching and backup plans, to comprehend the complexities of insurance transitions successfully. Tune in to gain valuable insights and strategies for success in an evolving dental landscape.

    • 18 min
    Can Insurance Companies Set Fees for Uncovered Services?

    Can Insurance Companies Set Fees for Uncovered Services?

    In this episode of "The Less Insurance Dependence Podcast," Gary Takacs and Naren Arulrajah engage in a detailed discussion on whether insurance companies possess the authority to establish fees for services not covered under insurance plans. They travel into the historical challenges dentists face when insurance companies dictate fees for services beyond their coverage, pondering the philosophical implications of such practices. Notably, they shed light on recent legislative advancements in select states that aim to address this issue. The conversation underscores the importance of dentists staying abreast of state regulations and refraining from violating contract terms. Furthermore, they advocate for a strategic transition away from reliance on PPO plans, emphasizing alternative marketing avenues like Google SEO to attract patients and regain control over fee setting.

    • 18 min
    Should I Accept Assignment of Benefits Once we are Out of Network?

    Should I Accept Assignment of Benefits Once we are Out of Network?

    In this episode of the Less Insurance Dependence podcast, Gary Takas and Naren Arulrajah tackle a common dilemma faced by dental practices transitioning out of network: should they accept the assignment of benefits? They begin by elucidating the significance of this term in dental insurance processes, where accepting the assignment of benefits means authorizing the insurance company to send the reimbursement check directly to the dental practice rather than to the patient.
    The hosts discuss the variability in policies among insurance companies, particularly focusing on the restrictive nature of Delta Dental regarding the acceptance of the assignment of benefits. They emphasize the importance of checking with insurance companies about their policies post-transitioning out of the network, as some may need to allow practices to accept the assignment of benefits for in-state patients.
    Despite the challenges, Gary and Naren advocate for a patient-friendly approach even after transitioning out of the network. They stress the importance of making processes easy for patients and disagree with consultants who suggest completely washing hands off insurance involvement post-transition. Instead, they recommend maintaining a level of involvement in insurance processes to provide better customer service to patients. The hosts express optimism about successfully resigning from PPO plans within a specific timeframe. 
     

    • 19 min
    Is Dentistry a Profession or an Industry?

    Is Dentistry a Profession or an Industry?

    In this episode of The Less Insurance Dependence Podcast, co-hosts Gary Takacs and Naren Arulrajah dive into a thought-provoking discussion on whether dentistry should be considered a profession or an industry. They acknowledge the significant influence of insurance companies on dental practices, shaping them more towards being transactional providers rather than relationship-driven professionals. Gary emphasizes the importance of the terminology used, advocating for viewing dentistry as a profession due to the expertise, care, and dedication involved in providing dental services. He urges listeners to assess where their practice lies on the spectrum between transactional and relationship-driven and to consider moving towards a more patient-centered approach. The episode concludes with invitations for further assistance in reducing insurance dependence and improving marketing strategies, encouraging dentists to schedule coaching or marketing strategy meetings. Through their insightful discussion, Gary and Naren provide valuable insights into the evolving nature of dentistry and the importance of patient-focused care.

    • 19 min
    The Most Effective way to Lower your Practice Overload

    The Most Effective way to Lower your Practice Overload

    In this episode of The Less Insurance Dependence Podcast, hosts Gary Takas and Naren Arulrajah delve into the topic of reducing practice overhead in dentistry. They emphasize the importance of addressing rising expenses, particularly in the post-COVID era, where overhead costs have surged due to inflation and increasing wages.
    The hosts present a case study illustrating the impact of transitioning from in-network to fee-for-service, highlighting significant revenue increases and profit gains. They emphasize viewing PPO adjustments as marketing expenses and advocate for dentists to regain control over fee setting by resigning from PPO plans.
    Gary recommends seeking guidance from the Academy of Dental CPAs and conducting a marketing strategy meeting to reduce overhead and increase profitability. 
    Overall, the episode provides valuable insights into addressing practice overhead challenges and emphasizes strategic decision-making to enhance practice profitability.

    • 18 min

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