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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