Gary Kadi argues practices should drop PPOs for a triple win: healthier patients, a thriving team, and a solvent practice. PPOs limit fees, increase workload, and train patients to chase coverage instead of care. He includes a script for explaining the shift to patients.
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One of the things that's really important in our methodology is making sure that we have a triple win. Your patients are getting healthier, your team is thriving and the practice is solvent. Well, let's be honest, PPOs are no part of that. They were designed for their own profit, not yours. They limit your fees, they increase your workload, and they really put your team in a reactive, defensive position. The worst part, they actually train your patients to care more about coverage than their health. We're moving away from Insurance Driven Care so that we can focus on what's best for you, not just what's covered. I think for patients they need to understand, some of them might, but a lot of of them don't, that insurance isn't necessarily supporting them, it's hindering them from their coverage. Here's part of that script. Hi, Mrs. Jones. I wanted to let you know that we're actually moving away from your insurance. We're moving away from Insurance Driven care so that we can truly focus on what's best for you, not just what's covered. So that's a part of the script is really focused around the fact that insurance doesn't necessarily allow us to do what's best for the patient and do what's best for their career.