Dental insurers focused on who’s getting the best network discount…Varying ranges in discount percentages are achieved…Contracting an Out-of-Network Provider at a deep discount seems like a winning strategy.
This is the current state of the industry.
But all is not as it seems. There are perils in deep discounting and financial risks associated with bringing a provider with outlier utilization and/or billing behavior into your network. In our recent Insights Series webinar “Recruiting and Outlier Behavior: Network Development Pitfalls,” we discussed the challenges inherent in building a quality network, at the best discount, while avoiding the encouragement of outlier behavior.
With industry-leading dental informatics tools it is possible to profile and know who your dentists are before you contract them. P&R Dental Strategies’ suite of utilization management, network development and fraud and abuse detection solutions are designed to provide the business critical actionable insights you need to meet your goals.To request a demo of our solutions customized to your business, please complete the form below:
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