Less Insurance Dependence Podcast

Have you ever wondered how the insurance plans you accept today could make or break the sale of your dental practice someday? In this powerful episode, Michael Walker sits down with Kim McCleskey and Kyle Francis from Professional Transition Strategies to uncover how your current insurance participation, especially with PPO plans, can dramatically affect the value and marketability of your dental practice. Kim and Kyle share real-world stories, actionable advice, and clear steps for dentists who are planning a future transition or simply want to strengthen their financial foundation. They discuss common misconceptions about reimbursement rates, the role of insurance in buyer interest, and how to begin making smart, strategic changes. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Thinking about going out of network? In this episode, Gary and Naren break down five real reasons why some dentists should wait. Learn how to tell if your practice is ready—or if you need more time, training, and trust-building first. A must-listen before you make the leap. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

In this episode, Gary and Naren discuss a powerful but often overlooked concept: discretionary spending and how your dental practice can benefit from it. Americans spend over $6 trillion every year on things they want, not just things they need. That includes healthcare decisions, like cosmetic dentistry, implants, and other elective treatments. Gary breaks down how understanding this mindset can help you better position your services, attract fee-for-service patients, and break free from insurance limitations. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Have you ever wondered how many people actually take full advantage of their dental insurance? You might be surprised! In this episode, Gary and Naren dive into a shocking stat: only 2.8% of patients use their full yearly dental benefits. That means nearly everyone else is missing out on the coverage they've paid for. So why does this happen? Is it because people forget, or is dental insurance just too hard to navigate? Gary and Naren break it all down, exploring how dental insurance hasn't kept up with rising costs and why many patients don't value their benefits. They also offer practical tips for practice owners and staff to help patients make the most of their insurance, ensuring they get the care they need. Tune in to understand why only a small percentage use their full benefits and what you can do to change that. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Ready to market smarter in 2025? In this episode of the Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah reveal the four essential marketing pillars your practice needs to grow without relying on PPO plans. Learn how to master organic SEO, build trust through Google reviews, improve call conversions, and optimize landing pages while attracting the right patients and boosting profitability.  Listen now and unlock your 2025 marketing strategy!     Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Can PPOs legally set fees for services they don't even cover? In this episode, Gary and Naren break down the latest state-by-state legislation and what dentists need to know to protect their revenue. You'll learn how to identify non-covered services, adjust your fees legally, and avoid letting outdated contract terms limit your income. Tune in to discover where your state stands—and what steps you can take today. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Running a dental practice comes with a lot of moving parts. From managing patients to keeping up with paperwork, it's easy to feel overwhelmed. But what if your software could make things easier? In this episode, we're joined by Dana Johnson, a dental software expert who shares how to use systems and technology to build a smoother, more profitable practice. If you're tired of feeling stuck in old systems… or just want to work smarter, not harder… you'll love the practical tips Dana shares in this episode. From training ideas to tech tools, this is your guide to creating a simpler, stronger dental practice — one that's built to grow, with or without insurance. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Do you feel tired, burned out, or stuck in your dental practice? In this episode, co-host Michael Walker talks with Laura Brenner, a former dentist who knows how that feels. Laura shares her story of working in a busy, insurance-driven practice, where she felt overwhelmed and disconnected from her purpose. She explains how stepping away from insurance-heavy systems helped her find more balance, build better relationships, and enjoy work again. You'll hear helpful ideas on setting boundaries, finding real success, and creating a dental practice that supports both your health and your happiness. If you've ever thought, “There has to be a better way,” this episode will help you take your first step toward a better future. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Feeling tired, stressed, or overwhelmed in your dental practice? You're not alone. In this episode, co-host Michael Walker talks with Kari Carter-Cherelus—a dental hygienist, speaker, and author who has walked that same path and now helps others find a better way forward. Kari shares her personal story of burnout, what caused it, and how she turned things around. She opens up about the real pressures dental professionals face—tight schedules, insurance frustrations, lack of appreciation, and feeling like there's never enough time for life outside of work. You'll learn how reducing insurance dependence can help create more balance, better patient care, and a happier, healthier team. Kari also shares simple, real-life strategies to manage stress, improve office culture, and support one another. If you're ready to feel more in control of your time, your practice, and your well-being—this episode is full of helpful tips and inspiring insight you won't want to miss. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/   

In this episode of the Less Insurance Dependence Podcast, hosts Gary Takacs and Naren Arulrajah break down the essential steps to developing a customized blueprint for success in your dental practice. Many dentists feel trapped by PPOs, working harder each year while losing a significant portion of their revenue to insurance write-offs. But the good news? There's a way out. Gary and Naren share a step-by-step approach to help you reverse engineer your success, transition away from PPOs, and build a thriving, profitable practice that provides personal, professional, and financial satisfaction. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Many dentists feel stuck in PPO plans, especially in small towns where every other practice is in-network. They worry that going fee-for-service isn't possible in their area. But what if that belief is holding them back? In this episode, Gary and Naren share the story of a dentist who thought exactly that—until he saw things differently. Instead of seeing his town as a challenge, he realized being the only fee-for-service practice could actually be an advantage. Patients are looking for quality care, and many are willing to pay for it—if they know where to go. Gary breaks down the mindset shift needed to leave PPOs successfully, no matter where your practice is located. He also shares practical steps, including how to market your practice, attract the right patients, and build strong relationships that keep them coming back.   Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

In this episode of the Less Insurance Dependence Podcast, co-hosts Gary Takacs and Naren Arulrajah discuss what it truly means to achieve financial independence through your dental practice. They break down the steps to financial freedom, including how to grow revenue with high-quality new patients, why PPO write-offs limit your wealth, and smart financial strategies like pension plans and investments. Gary and Naren also highlight eye-opening statistics from the American Dental Association (ADA) about how few dentists can retire without lowering their lifestyle—and how you can ensure you're on the right track. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/   

When a practice drops a PPO plan, patients don't always react the way you'd expect. It's not the cost of a crown or an implant that surprises them—it's their hygiene visit. For years, they've believed their cleanings were “free,” but once you're out of network, that changes. In this episode, Gary and Naren dive into why hygiene visit fees create the biggest pushback, how insurance companies handle co-pays differently, and what you can do to keep patients from leaving. You'll hear real-world examples, simple communication strategies, and ways to prevent surprises for your patients. Navigating this transition doesn't have to be difficult. By preparing in advance and understanding what matters most to patients, you can avoid common pitfalls and ensure a smoother shift to fee-for-service. If you're thinking about resigning from PPOs, this episode is a must-listen. Learn how to keep your practice thriving while reducing insurance dependence—without losing valuable patients.   Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you!  https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Going out of network with insurance is a big decision for any dental practice, but timing is crucial. In this episode of The Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah break down the key mistakes practice owners make when transitioning away from PPO plans. They outline four critical factors to evaluate before making the move, including the strength of patient relationships, the effectiveness of marketing strategies, and scheduling demand. If your practice isn't prepared, dropping PPOs at the wrong time can lead to revenue loss, empty schedules, and unnecessary stress. But with the right approach, you can successfully transition while maintaining financial stability. This episode is essential for practice owners who want to take control of their profitability without risking their patient base. Tune in to learn practical steps to ensure your practice is truly ready to go out of network.   Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

Are you tired of PPOs cutting into your hard-earned revenue? Many dentists feel stuck relying on insurance companies for patients—while sacrificing profits. But what if you could take control and bring in patients on your own? In this episode, Gary Takacs and Naren Arulrajah discuss the 5 key areas of a marketing audit that can help determine whether your practice is ready to reduce PPO dependence. You'll learn how to check your Google rankings, online consistency (NAP score), website performance (Lighthouse score), credibility (E-E-A-T), and review growth (Google Review Velocity). By understanding these essential marketing factors, you can replace insurance-driven patients with high-quality ones who value your care—all while lowering marketing costs. If you've ever wondered, “Is my practice ready to go out of network?” this episode gives you the answers. Tune in now and take the first step toward insurance freedom! Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

In this episode of the Less Insurance Dependence Podcast, co-hosts Gary Takacs and Naren Arulrajah discuss "Three Tips to Significantly Increase Your Conversion Rate." They define conversion rate as the percentage of new patient calls resulting in booked appointments, sharing benchmarks, and grading scales for assessment. Highlighting the importance of tracking and training, they stress the need for recording and reviewing calls to identify improvement areas.  Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

In this episode, Naren and Gary explore the insurance company business model and its impact on dental practices and the broader public, highlighting recent events, including systemic issues like AI-driven claim denials, that have placed the insurance industry under scrutiny. They emphasize how these practices reveal insurers' priority to collect premiums while minimizing claims payouts, often at the expense of policyholders. They will also share how this trend affects dental insurance and advocate for educating patients on the limitations of their plans while positioning practices as genuinely caring about their patients' health. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

This episode of "The Less Insurance Dependence Podcast" explores how staying in-network with PPO insurance can significantly impact a dental practice's profitability and overall net worth. Gary Takacs and Naren Arulrajah discuss the hidden costs of insurance adjustments, which can amount to 45-50% of collections, reducing practice profitability and valuation. They illustrate this with real examples, emphasizing how becoming out-of-network can dramatically increase a practice's profitability, making it more desirable and valuable in the market. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

This episode of the Less Insurance Dependence Podcast highlights the importance of proactive marketing when transitioning away from PPO plans. Gary Takacs and Naren Arulrajah discuss three key strategies: setting bold goals for collections and new patient numbers, implementing a comprehensive marketing plan, and targeting the resignation of at least one PPO plan in 2025. They emphasize the risks of neglecting marketing, likening it to unused muscles that atrophy, sharing real examples of practices successfully leveraging organic SEO for consistent patient growth, and urging listeners to plan to avoid disruptions and achieve sustainable success. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

This episode of the Less Insurance Dependence Podcast addresses the growing impact of AI-driven auto-denial insurance claims and how dental practices can adapt. Gary Takacs and Naren Arulrajah discuss how insurance companies use AI to increase profits by automating claim denials, making it challenging for dental practices to receive payments. They highlight the financial imbalance in the dental insurance model, where only insurance companies benefit, and urge dentists to reduce their dependence on PPO plans, as reform is unlikely. They also emphasize focusing on what practices can be controlled to achieve financial and operational stability. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  

Ever wondered how the journey of reducing insurance dependence began? In this episode of the Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah share the inspiring story behind the podcast's creation seven years ago. They discuss how a niche focus on helping dentists successfully resign from PPO plans has empowered over 400 practices nationwide. From the pitfalls of DIY strategies to the transformational impact of personalized coaching, this episode highlights steps to make 2025 your most profitable year yet. Tune in for more on building a thriving, fee-for-service practice and putting insurance dependence in the rearview mirror! Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  

In this episode of The Less Insurance Dependence Podcast, co-hosts Gary Takacs and Naren Arulrajah discuss the growing trend of dental insurance claim denials. They explore how insurance companies are increasing claim rejections, requesting excessive documentation, and leveraging policies like wait periods to reduce benefits utilization. They emphasize that these practices prioritize profits over patient care, creating challenges for dentists and patients alike. Gary and Naren encourage dentists to reduce their reliance on Insurance, highlighting the benefits of resigning from PPO plans and attracting patients without Insurance, stressing the importance of building strong patient relationships to sustain a thriving, independent dental practice. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

In this episode of The Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah discuss whether dental insurance will undergo significant changes in 2025. Gary highlights the historical context and entrenched profit-driven practices of insurance companies and explains why a major overhaul is unlikely. However, minor legislative improvements, such as prohibiting insurers from setting fees on uncovered services, might occur. Book a free marketing strategy meeting with Ekwa and discover how we can help you leverage reviews to attract more patients! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

Find out the impact of Google Reviews on reducing PPO dependence through this episode of The Less Insurance Dependence Podcast, where Gary Takacs and Naren Arulrajah share how modern consumer behavior is reshaping dental marketing. They explore why fewer patients rely on insurance company websites and instead turn to Google to find top-rated dental practices. Learn how having numerous positive reviews influences patient decisions and enhances your online presence, which is a mindset shift for dentists, focusing on Google strategies rather than PPO participation.   Book a free marketing strategy meeting with Ekwa and discover how we can help you leverage reviews to attract more patients! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

In this episode, Gary Takacs and Naren Arulrajah talk about one of the most common questions dental practices face from potential new patients: "Do you take my insurance?" They emphasize the importance of proper call training to address this question effectively and convert inquiries into appointments. Gary shares a case study of a practice that improved its call conversion rate from 25% to 75% through focused training, highlighting the impact on new patient numbers without increasing marketing costs. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

This episode of The Less Insurance Dependence Podcast focuses on "Recession Proofing Your Dental Practice." Gary Takacs and Naren Arulrajah share straightforward tips to help dental practices thrive during challenging economic times. They emphasize building patient trust, creating a relationship-driven environment, and providing unique reasons for patients to choose your practice, such as state-of-the-art technology and a focus on prevention. The episode also highlights the pitfalls of relying heavily on dental insurance networks and encourages practices to attract patients who value quality care. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

In this episode, Gary and Naren dive into strategies for "Recession Proofing Your Dental Practice." They explore the reality that dental practices are often viewed as expendable by insurance companies, leading to unfair reimbursement rates and restrictive policies. Gary shares insights from working with over 400 practices that have successfully transitioned away from PPO plans, emphasizing the power dentists have when they choose to operate independently of insurance constraints. This discussion offers a blueprint for building a thriving, resilient dental practice that prioritizes fair treatment for patients and providers, regardless of economic downturns or industry pressures. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

Ever wondered how to Improve Your Practice Without Completely Committing To Fee-for-Service? Gary and Naren take on a discussion throughout this episode about ways to improve a dental practice without fully committing to a fee-for-service model. They address the benefits of gradually reducing participation in PPO plans, allowing practices to increase profitability while maintaining flexibility. Gary shares a compelling case study of a dental practice that successfully transitioned out of PPO networks, increasing collections and reducing overhead. Tune in and get inspired to make small, impactful changes that could transform your practice's future. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

In this episode, co-hosts Gary Takacs and Naren Arulrajah discuss the rising appeal of fee-for-service dental care as inflation and economic challenges strain insurance-based practices. They explore how increasing costs, especially in wages, and declining reimbursements from PPOs are pushing many dentists to consider dropping insurance plans altogether. By reducing insurance dependence, dentists can regain control over their fees, enhance practice profitability, and offer high-quality care. This episode highlights the benefits of transitioning to fee-for-service as a sustainable path to a thriving, independent dental practice.

In this episode of the Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah explore whether potential new patients exist who are unaffected by a soft economy. They discuss how certain high-value dental services, such as implant restorations, smile makeovers, and sleep apnea treatments, remain in demand despite economic downturns. They emphasize the importance of attracting patients seeking specific solutions, regardless of financial conditions. Listeners will gain insights into how to build a recession-proof practice by focusing on patients who seek high-value procedures and leveraging SEO to reach them.

In this episode of the Less Insurance Dependence podcast, Gary Takacs and Naren Arulrajah explore the concept of a hybrid dental practice model. They begin by discussing the definition of a hybrid model, which involves a mix of participating in some PPO insurance plans while also offering fee-for-service care. For many dental practices, the journey to a fully fee-for-service model may seem daunting, especially since around 90-95% of U.S. dentists are in-network with PPO plans. For these practices, transitioning to a hybrid model can serve as a stepping stone, allowing them to gradually reduce insurance dependence without fully stepping away from PPOs. The hybrid model can be a viable long-term strategy for practices wanting to balance PPO participation with fee-for-service offerings. It provides an opportunity to improve profitability and patient care gradually while maintaining some level of insurance participation when necessary.  

In this episode of the Less Insurance Dependence podcast, Gary Takacs interviews Dr. Bill Hang about the crucial topic of airway awareness in dentistry. Dr. Hang emphasizes the link between airway function and overall health, urging dentists to recognize signs of airway issues in their patients. He discusses strategies for integrating airway assessments into routine evaluations and highlights the importance of patient education regarding airway health. Dr. Hang also underscores the need for ongoing education for dentists, encouraging collaboration with other healthcare professionals to address airway concerns comprehensively. His insights provide valuable knowledge for dental professionals seeking to enhance patient care and improve health outcomes through a focus on airway awareness.  

In the latest episode of the Less Insurance Dependence podcast, co-hosts Gary Takacs and Naren Arulrajah explore what it truly means to be part of the top 1% of dental practices and how to reach that elite status.  Throughout the conversation, Gary shares seven key strategies that can propel practices to the top level, hinting at several specific goals that successful practitioners should aim for. He discusses the significance of achieving a healthy work-life balance and having a high-performance team, which are crucial for overall satisfaction and success in the dental field. This engaging episode offers listeners a glimpse into the path to practice excellence, with plenty of actionable insights to help elevate their practices.  

In this episode  of the Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah explore strategies for staying motivated as dental practices transition out of PPO networks. They emphasize that this journey is more of a marathon than a sprint, with practices seeing gradual improvements as they reduce their dependence on insurance. The key to success lies in maintaining a strong sense of motivation, both for doctors and their teams. Dentists must act as Chief Motivation Officers (CMOs), leading by example and keeping morale high during this challenging process. As the team stays motivated and patient concerns are handled with empathy, practices can successfully navigate the transition out of the network and thrive.  

In this episode of the Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah focus on the five major expense categories that, when managed effectively, can substantially improve a dental practice's profitability. These categories account for 85% of a practice's expenses.  They stress that effective management of these key expenses can lead to a thriving dental practice. One particular challenge is managing team wages, which have been impacted by rising inflation. However, growth can help offset these costs. By growing a practice by $100,000 annually, significant profitability gains can be achieved, especially when the practice maintains the same team and operational hours.  

In this episode of the Less Insurance Dependence Podcast, co-hosts Gary Takacs and Naren Arulrajah explore the concept of creating a memorable and impactful new patient experience in dental practices. They emphasize the importance of designing an experience that aligns with patient expectations while achieving the practice's goals for comprehensive care. The hosts discuss the significance of the first impression a dental practice makes on a new patient. A well-structured new patient experience can lead to five-star reviews, long-term patient retention, and increased case acceptance. The focus is on delivering an experience that balances the patient's desire for a cleaning with the practice's need for comprehensive records and a thorough examination. To help practices create this ideal experience, the hosts introduce a seven-step process.     

In this Episode of the Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah emphasize the importance of strategic growth for dental practices, especially those looking to reduce their reliance on PPO plans. The hosts stress that strategic growth is vital for any dental practice, as staying stagnant is not an option due to inflation and rising costs. Intentional growth ensures that a practice's income and value continue to rise over time. The episode highlights several methods to achieve strategic growth. One primary strategy is resigning from PPO plans, which allows practices to retain 45-50% more of their fees, even if some patients are lost in the process. Another effective approach is adding high-value services such as implants, adult orthodontics, and cosmetic dentistry, which can significantly increase revenue. For practices with sufficient demand, expanding the team by hiring an associate can also promote growth, provided it is carefully planned to support both the owner and the new associate.      

In this episode, Gary Takacs and Naren Arulrajah discuss the critical topic of resigning from PPO plans to improve work-life balance. They explore why reducing insurance dependence is vital for dentists seeking a more fulfilling and sustainable practice. Dentists often face challenges such as low reimbursement rates and increased patient loads associated with PPO plans. By reducing their dependence on these plans, dentists can gain better control over pricing, enhance profitability, and provide higher-quality patient care. The episode features real-life success stories from dental practices that have successfully resigned from PPO plans. These testimonials highlight the positive impacts on patient satisfaction and practice profitability. Dentists who have made this transition report experiencing less stress, increased job satisfaction, and more time for personal and professional growth.  

In this episode, Gary and Naren explore the critical importance of making new patients feel valued and welcomed from their very first interaction with your practice. With rising competition and the ongoing need to reduce dependence on PPO plans, it's more important than ever to "roll out the red carpet" for new patients. A key factor in this process is ensuring immediate availability for new patient appointments, ideally within a week of their initial call. If your practice fails to offer a timely appointment, there's a high likelihood that the potential patient will seek care elsewhere. Effective scheduling plays a pivotal role in this. By utilizing new patient blocks in your schedule, you can ensure that these patients have access to appointments. It's recommended to start scheduling these blocks months in advance to avoid future booking conflicts. Your front desk team should be well-trained to handle calls from new patients, emphasizing the importance of offering timely appointments and prioritizing these new patient blocks.    

In this episode of the Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah address the common issue of team resistance when transitioning to a less insurance-dependent practice. They discuss practical strategies for managing team members' fears and concerns, highlighting the importance of clear communication, ongoing training, and maintaining a patient-centered approach. Understanding that resistance is a natural human response to change, especially when job security is perceived to be at risk, the hosts emphasize that this shift doesn't mean abandoning patients but rather allows the practice to set its fees while remaining patient-friendly. Gary and Naren stress the importance of starting with a strong "why" when explaining the transition away from PPO plans. This approach should focus on the benefits for both the team and the patients rather than solely on financial motivations. By ensuring that all team members are consistently delivering the same message to patients, confusion is minimized, and the practice's commitment to high-quality care is reinforced.  

In this episode of the Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah discuss "Negotiated Fee Schedules: Truth or Fiction."  Historically, until around 2011 or 2012, dentists had some success negotiating fees with PPO plans. However, in recent years, insurance companies have largely stopped negotiating fees, leaving dentists with limited options. Gary explains that while insurance companies generally refuse to negotiate when asked directly, there has been a recent shift. In some cases, after a dentist resigns from a PPO plan, the insurance company might reach out with an offer to renegotiate the fee schedule in an attempt to retain the dentist within their network.  The key takeaway is that while negotiated fee schedules can be a reality, they require persistence, strategic resignation, and careful consideration. Gary concludes by advising dentists to be cautious and prepared to follow through with their resignation if negotiations do not yield acceptable results, highlighting that this approach is not one to be taken lightly.  

In this episode of the Less Insurance Dependence Podcast titled "Fee Setting Guidelines," hosts Gary Takacs and Naren Arulrajah go deep into the crucial topic of how to set fees in a dental practice effectively. They begin by emphasizing the importance of regularly updating fees, particularly in an inflationary economy, to ensure that dental practices remain profitable. Gary discusses the ideal, though impractical, method of using cost accounting to determine fees, where the exact cost of delivering each service is calculated, and a profit margin is added. However, due to the complexity and variables involved, this method is only feasible for some practices. Instead, Gary suggests using independent third-party resources like the National Dental Advisory Service, which provides annual fee guidelines by zip code. These guidelines allow dentists to set their fees based on various percentiles, giving them the ability to align their pricing with the quality of care they provide and the economic environment of their location.   

In this Episode of the Less Insurance Dependence podcast, Gary Takacs is joined by guest Jordan Comstock to discuss the importance and implementation of in-office membership plans. Gary emphasizes the significance of these plans, particularly for dental practices aiming to reduce dependence on PPOs. He introduces Jordan, the CEO of BoomCloud, a company that helps dental offices create and manage these plans. Jordan highlights the benefits of in-office membership plans, such as generating predictable recurring revenue and retaining patients. He explains that setting the right pricing based on local demographics is crucial for success. Gary and Jordan discuss various strategies to maximize the potential of membership plans. They also explore the potential of marketing to business owners, who can offer membership plans to their employees as a cost-effective alternative to traditional dental insurance. Overall, the episode provides valuable insights into creating and maximizing in-office membership plans to enhance practice profitability and patient retention.    

In this episode of The Less Insurance Dependence Podcast hosts Gary Takacs and Naren Arulrajah discuss a critical topic for dental practices: controlling overhead. They begin by discussing the essential aspects of overhead, defining it as all necessary expenses to run a practice, excluding the dentist's compensation. For solo practices, they recommend keeping overhead below 60%. They stress the importance of focusing on the five main expense categories that constitute about 85% of a practice's costs: staff compensation, lab expenses, facility costs, consumable supplies, and marketing. Gary and Naren offer practical advice on managing these expenses, such as monitoring staff compensation, optimizing lab costs, and maintaining a facility budget of 5% or less. They emphasize the value of investing in marketing strategies that bring down costs while attracting quality patients, suggesting that marketing expenses can be reduced to less than 1% with effective techniques. They also address specific challenges like rising wages for hygienists and how to maintain a hygiene-driven practice despite these costs.  

In this episode of The Less Insurance Dependence Podcast, hosts Gary Takacs and Naren Arulrajah delve into the critical topic of balancing profitability and serving those in need within a dental practice.  The central topic of this episode is the idea that it is possible to have a profitable practice while serving those in need. Naren shares his experience working with dentists and notes that most dental professionals are driven by a desire to help others rather than solely by profit. However, he acknowledges that many dentists need help with the business side of their practices, especially when dealing with PPO plans and their associated low reimbursements. Gary passionately argues that profitability and service are not mutually exclusive and that a profitable practice can enhance one's ability to give back to the community. Gary recounts a recent coaching strategy meeting with a potential client who expressed concern about balancing profitability with his mission to serve those in need. This client had a successful, state-of-the-art practice but faced profitability issues due to participation in multiple PPO plans. Gary reassures the client that profitability enables more significant contributions to charitable causes and emphasizes the concept that "you can't give from an empty wagon." He shares examples of how other dentists have successfully integrated charitable work into their practices while remaining profitable. Throughout the episode, Gary and Naren explore various ways dentists can give back, whether through local initiatives, national programs like the Mission of Mercy, or international missionary trips. They stress that being profitable allows dentists to have the flexibility and resources to support these efforts effectively. Gary also highlights the importance of preventive care and quality dentistry for those on limited budgets, underscoring the value of serving all patients with the best possible care. As the episode concludes, Gary reflects on the profound impact of addressing the emotional conflicts that can hinder dentists' decision-making. He reiterates that achieving both profitability and a commitment to service is entirely possible and essential for a thriving practice.    

In this episode of The Less Insurance Dependence Podcast, hosts Gary Takacs and Naren Arulrajah dive into the essential strategies for attracting high-value patients to a dental practice. They open the discussion by emphasizing the importance of reducing insurance dependence, aiming to transform practices. The episode's primary focus is on high-value services. Gary defines procedures requiring more investment from patients and offering higher productivity per unit of time for the practice. These services include dental implants, adult orthodontics, cosmetic dentistry, complex restorative dentistry, oral conscious sedation, and more. By incorporating these services, dentists can significantly enhance their practice's profitability and independence on insurance. Gary and Naren discuss Google's pivotal role in attracting high-value patients, emphasizing the need to dominate Google search results to reach the top 5% of practices that capture 95% of organic traffic. They explain the importance of search engine optimization (SEO) and the difference between organic and paid search results. They note that organic search leads to more engaged and trusting practices among patients. Naren outlines six critical factors that influence Google's ranking algorithm and stresses the need for consistent efforts both on the practice's website and across the internet to maintain a top position. He underscores the cost-effectiveness of SEO compared to paid search and P P O marketing, illustrating how a strong SEO strategy can lead to long-term success and reduced marketing expenses. The episode concludes with Gary reflecting on the deeper rewards of dentistry, noting that hiGoogle's services not only enhance a practice's financial health but also enable practice life-changing impacts on their patients.     

In this milestone 300th episode of the Less Insurance Dependence Podcast, listeners are treated to the success stories of three guests at different stages of their journey toward reducing insurance dependence. Dale, Gina, and Peter share their unique experiences, lessons learned, and invaluable insights for fellow dentists. They discuss what has worked effectively and potential adjustments they would consider and emphasize critical strategies they wish they had implemented sooner. Their candid reflections offer listeners practical guidance and inspiration for navigating the complexities of transitioning to a fee-for-service model. They share insights on the impact of COVID-19, which unexpectedly helped retain patients who truly value their practices. Dale explains how his practice successfully resigned from Delta Dental, highlighting the importance of a thorough six-step plan and coaching support. Gina emphasizes the crucial role of patient relationships and new patient experiences in making the transition smoother. Peter discusses the role of their business administrator and the significance of strong leadership in navigating this change. For dentists considering this transition, Dale advises getting the practice in order and ensuring an exceptional patient experience. Gina suggests thorough preparation, while Peter emphasizes having a strong business administrator and leveraging coaching support. They also discuss having a backup plan to rejoin insurance networks if necessary, although they have yet to have to do so. Economic benefits are evident, as Dale shares, with fee-for-service patients bringing in better financial outcomes compared to insurance patients. Practical steps include starting with the smallest insurance plan to build confidence and preparing scripted responses for patient conversations. Gary addresses questions about specialty practices, confirming that pediatric practices can also successfully transition with the right approach.    

In this episode of The Less Insurance Dependence Podcast, host Gary Takacs and Naren Arulrajah discuss crucial payment details when resigning from PPO plans. They aim to alleviate the common anxieties dentists face when transitioning away from insurance dependence. The core topic of this episode delves into the logistics of payment collection post-PPO resignation. Gary explains that most insurance companies, except Delta, allow for the assignment of benefits, meaning the insurance company will continue sending checks directly to the practice. For Delta, however, checks are sent to the patients, necessitating full payment collection at the time of service. Gary offers practical advice on communicating this change to patients, suggesting a script that emphasizes the speedy reimbursement process from Delta and the option to use credit cards to manage the initial payment. Naren then poses three pertinent questions to listeners. The first question addresses whether practices collect full payment at the time of service. Gary clarifies that this depends on the insurance company's policies, but full payment is required upfront for Delta patients, with an emphasis on the swift reimbursement they will receive. The second question explores what types of payment plans or financing options should be offered to make dental care more affordable. Gary recommends third-party financing options such as CareCredit and Proceed Finance, which offer flexible payment plans, including interest-free options and extended payment terms. This episode provides valuable insights and practical strategies for dental practices aiming to reduce insurance dependence while maintaining financial stability and strong patient relationships.  

In this episode of the Less Insurance Dependence Podcast, hosts Naren Arulrajah and Gary Takacs discuss effective strategies for communicating with patients about the value of being out of network. The primary focus is on framing the conversation to highlight the benefits for the patients, encapsulated by the principle of WII-FM (What's In It For Me?). Gary emphasizes the importance of maintaining high-quality care and a positive patient experience, explaining that staying out of network ensures the practice's ability to provide these consistently. By not being constrained by insurance companies, the practice can invest in the latest technologies, such as single-visit restorations, lasers, and three-dimensional cone beams, which significantly enhance patient care. Additionally, being out of network allows the practice to hire and retain quality team members, further ensuring excellent patient service. The hosts discuss tailoring the communication to the patient's perspective. For instance, when talking to a business owner, mentioning how some insurance companies haven't raised fees since 2009 can resonate well, as business owners understand the need to keep up with operational costs to maintain quality. For the general patient population, it's important to reassure them that they can still use their benefits and that the practice will help them maximize those benefits.      

In this episode of The Less Insurance Dependence Podcast, hosts Gary Takacs and Naren Arulrajah tackle the question of why PPO plans have not raised fees or yearly maximums in 25 years. They attribute this stagnation to insurance companies' greed, emphasizing the industry's profit-driven nature. Despite this, they offer insights and strategies for dental practices looking to reduce their dependence on insurance plans and transition to a fee-for-service model. Gary and Naren address common concerns of dentists, such as drawing enough fee-for-service patients and surviving in states like California, where insurance economics may need to align with practice viability. They highlight the importance of mastering organic search engine optimization to attract new patients from sources like Google rather than relying solely on PPO plans for patient referrals. Moreover, they discuss the mindset shift necessary to navigate patient expectations, particularly those accustomed to minimal out-of-pocket expenses due to insurance coverage. By emphasizing the value of quality care and creating positive patient experiences, practices can effectively transition away from insurance dependence.    

In this episode of The Less Insurance Dependence Podcast, hosts Gary Takas and Naren Arulrajah discuss the feasibility and implications of dropping PPO plans within 12 months. Gary highlights that while it is possible to resign from PPO plans quickly, success depends heavily on a practice's preparation. He emphasizes the importance of transitioning to a relationship-driven practice to retain patients and reduce overhead costs. Gary shares insights from his experience helping over 400 practices across the U.S. and notes that rushing the process without proper preparation, such as training the team in communication and ramping up marketing efforts, can lead to significant patient loss and operational difficulties. Narain underscores the need for practices to develop the right mindset and skills, especially in communicating the value of care to patients who are accustomed to free dentistry through PPO plans. The hosts invite listeners considering this transition to book a coaching strategy meeting with Gary to ensure they approach the process correctly, balancing speed with achieving the best outcomes. They stress that achieving a successful resignation from PPO plans involves comprehensive readiness and the implementation of strategic steps to ensure the practice thrives without insurance dependence.