I get asked this question every single week. In fact, it’s the number one reason doctors reach out to schedule a practice strategy call with me.
“Scott, when is my practice ready to drop PPOs?”
If this rings true for you, here’s what I want you to understand: You’re asking the wrong question.
The real question isn’t when… it’s what game do you want to play?
Want the full breakdown with the framework, the hierarchy, and the insurance matrix? We built a dedicated guide: How Do You Know When Your Dental Practice Is Ready to Drop PPOs?
Because here’s the deal, you can either play the insurance game or you can play the patient game. You cannot play both. Not if you want a truly profitable, truly independent practice.
Sure, you can have a hybrid situation where you manage the pieces. However, insurance can become toxic. In fact, if you leave it there, it tends to spread. It gets into your treatment planning. It gets into your diagnosing. It gets into your team’s language. It gets into how your patients value you. Then, before you know it, you’re working harder, seeing more patients, and making less money than you ever before.
So, let me ask you straight: Do you want insurance or do you want independence?
Pick one I-word because as long as you have insurance dictating your capacity, your value, and your price, you do not have independence. Period.
Now, in this week’s video, I walk you through the entire hierarchy (from managed care all the way to full concierge) and I show you exactly where you are, where you could be, and what it takes to get there.
I break down the three big factors that determine whether you’re ready to make the move: capacity, value, and price. Then I explain why price is your greatest leverage factor (not production, not volume, not how busy you are).
Here’s a truth bomb I drop in the video: A profit-focused practice is a patient-focused practice. A production-focused practice is an insurance-focused practice. There’s no gray area; you’re one or the other.
I also reveal the signs that tell you you’re ready – and the mindset shift that has to happen first before any of this works. Because here’s what most doctors miss: you’re never going to feel “ready.” You’re never going to wake up one day and suddenly have all the answers. You make a decision that you’d rather work less and make more. That you’d rather focus on quality over quantity, value over volume, profit over production. Then you build the practice that delivers that.
This video is for you if you’re tired of the insurance grind. If you’re tired of write-offs. If you’re tired of feeling like you’re working harder than ever and falling further behind. If you want to understand how to build a practice where patients value you, where your schedule is full of ideal cases, and where your profit margins reflect the skill and care you bring every single day.
I’m not holding back in this one. I give you the framework. I give you the mindset. I give you the math.
Watch it, study it, and then decide what game you’re going to play.
