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In this episode, the Insurance Untangled host and guest explore the viability of the PPO practice model for dental practices. Ben Tuinei discusses the financial challenges that PPO plans present, including lower payments and increased costs, which lead to significant write-offs. With his years of experience, he shares his evolving perspective on PPOs, emphasizing that while the fee-for-service model is more profitable, there are strategies to optimize PPO practices. These include better coding, leveraging non-covered services, and offering quality upgrades for additional patient fees. He also touches on hybrid models and the importance of understanding insurance dynamics to enhance profitability.
By Naren ArulrajahIn this episode, the Insurance Untangled host and guest explore the viability of the PPO practice model for dental practices. Ben Tuinei discusses the financial challenges that PPO plans present, including lower payments and increased costs, which lead to significant write-offs. With his years of experience, he shares his evolving perspective on PPOs, emphasizing that while the fee-for-service model is more profitable, there are strategies to optimize PPO practices. These include better coding, leveraging non-covered services, and offering quality upgrades for additional patient fees. He also touches on hybrid models and the importance of understanding insurance dynamics to enhance profitability.