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Monday, April 29, 2013

Re: [ACEsthetics] Fear of Change

Mac,

The problem is that most dentists and more importantly virtually all patients don't understand what you just said. Patients and employers define dental insurance as getting their teeth cleaned for free, x-rays, exams and having super good coverage on single tooth dentistry as they live their life. It isn't until they need extensive dental care that they realize they don't have dental insurance. At that point they are already in the insurance practice and they usually stay there and pay the money. 

They are coming after us because we as a group of owners do not work together to fight it. Corporate money is flooding dentistry. The employers want low cost coverage for their employees and the insurance companies give it to them. Dental practices are now being run by business professionals and they know how to run a business and how to make money. They have no clue how to do a filling. But they are way more sophisticated than dentists on running a profitable business. 
It's been slowly happening but it is speeding up faster than we realize. 



On Mon, Apr 29, 2013 at 4:17 AM, Mac Lee <drmaclee@gmail.com> wrote:
How are they going to come after us Guy.  There is no such thing as dental insurance.  

Mac

Sent from my iPhone

On Apr 29, 2013, at 5:40 AM, "Guy Moorman" <gmoor@windstream.net> wrote:

Mac, the US has the best healthcare in the World if you toss in our dentistry.  We are on par with any country in the world as far as actual healthcare.  Yes, we have a sicker population but that is from outside factors.  My county is 158th out of 159 counties in Georgia in degrees of sickness.  We rate 98 in healthcare of those sick people, i.e. getting them well.  So we are doing a damned good job here.  This includes dental care and access also.

 

But modern healthcare is unbelievably expensive…ridiculously expensive but the model we live in is total insurance or government pay driven.  84% of our patients have some sort of insurance and the other 16% are either self-pay/no pay or have insurance with deductibles of 10k dollars which makes them self-pay.  That model is not going to reverse.  It is only getting worse. 

 

Why we think we are going to totally dodge this bullet is simply beyond me.  I hear all the ra ra on here about how we are going to stay cash and screw insurance and all the while we have corporate dentistry exploding into the market.  If I was getting out of school right now I'd bust my ass to get into a military program to pay my way and stay in the military for 20+ years and then set up a little practice where I did not have to make the big bucks because of my military retirement…but not a damned kid I know will even consider it and I hear bitch bitch bitch about school loans of up to 300 grand. 

 

The guys 50 and older are going to dodge this crap and I'm proud I won't have to deal with it.  I see the physicians and hospitals struggling to make 2% on Medicare type fees from government and insurance.  It sucks and they ARE going to come after us.  Trust me on that one.

 

Guy W. Moorman, Jr., D.D.S.

The Swamp

Douglas, GA 31533

912-384-7400

 

 

 

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From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of mchenry lee
Sent: Sunday, April 28, 2013 9:05 AM
To: gnr group
Subject: [ACEsthetics] Fear of Change

 

Dentistry has certainly changed in the last decade. Insurance is running just about everything, including the behavior of the patient, public, dentist and team. The model I started with, i.e. wait until they call or come in, see what you can get out of them, make it as cheap is possible, etc was a pretty free flowing business model that has changed in my opinion. Modern dentistry has such a wide range of wonderful choices which even makes things more confusing and very complicated. Modern dentistry is expensive. The government, the insurance companies and the lay public want cheap.

The real question for all of us to ponder is where do you think you are going to be or where will your office be in 10 years. Are you going to be in control or be controlled. Is there a fear factor with either choice?

The younger you are, the more important the question and your decision is; again, my opinion.

Example, it takes a hell of a lot of guts, business savy, the right team, the right circumstances, the right clinical ability and reputation, the ability to look at yourself, etc to make the decision to become insurance free doesn't it? If you don't plan to drop insurance in the future, what do you think your business model will look like?

Food for thought after reading some of Seth Goodwin's material.

Mac

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Scott L. Rice DDS
Kois Center Mentor
www.RiceDentistry.com
15785 Laguna Canyon Road, Suite 200
Irvine, CA 92618
office: 949.551.5902
cell: 949.683.7483

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