Why Your PPO Fees Haven't Moved in 20 Years (And What One Fighter Is Doing About It)

What if the insurance company that's supposed to pay you fairly is quietly working against you?

In this episode of the Nifty Thrifty Dentists Podcast, I sit down with Benjamin Tuinei, Founder of Veritas Dental Resources and Dental Link IPA, to talk about what's really happening with PPO fee negotiation, and why so many practices are leaving money on the table without knowing it.

Ben isn't a dentist. He's a business professional who has spent his career negotiating with insurance companies to raise reimbursements and protect what he calls “the financial integrity of quality care.” He shares a deeply personal story about fighting for his own son's medical care that shaped that mission, then breaks down the umbrella network mistakes quietly costing practices tens of thousands of dollars a year, and introduces Dental Link IPA, a new model borrowed from the physician world that could give independent dentists DSO-level leverage without giving up their practice.

In this episode, we explore:

• Why PPO fees have barely moved in over 20 years
• How Veritas Dental Resources negotiates higher fee schedules with insurance companies
• Why credentialing order and contract optimization matter more than most practices realize
• What umbrella networks are, and how they can quietly downgrade your fees without you noticing
• A real example of a practice that lost over $300,000 a year from a missed opt-out notice
• Ben's personal story about fighting for his son's care, and how it shaped his mission
• What Dental Link IPA is, and how it adapts a model from the physician world
• How a merit-based incentive model could give independent dentists DSO-level leverage without joining a DSO
• Ben's exclusive offer for Nifty Thrifty Dentists members

Exclusive offer from our sponsor, DentalRee:

• Ask about the Nifty 50 Deal on dental equipment, from diamond burs to handpieces.

Learn more: https://www.dentalree.com/

Exclusive offer from Ben Tuinei for Nifty Thrifty Dentists members:

• 30% off Veritas Dental Resources' services, bumped to 35% if enough members sign up, with credit given to everyone who joined at the 30% mark.

Get a Complimentary PPO Analysis or claim the Nifty offer by contacting Veritas Dental Resources directly:

• Email: [email protected]
• Phone: +1 (888) 808-4513
• Address: 384 Woodland Path, Dallas, GA 30132

 

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