Deciphering and Negotiating Insurance Network Participation Contracts*

*Indicates that this activity is approved by AAOMS for continuing dental education credit ONLY.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Discuss key practices staff should know dealing with different networks. 
  2. Determine when is the time to renegotiate contracts. 

Patrick O’Rourke
Founding Partner, Practice Quotient
Griffin, GA
Disclosure: No relevant financial relationships were disclosed.

An Internet-based CDE Activity
Original Podcast Date: November 1, 2023
Estimated time to complete this educational activity: 0.5 hours
Method of participation: Self-Study

Patrick J. O'Rourke

Founder/CEO

Practice Quotient, Inc.

Patrick O’Rourke began his career in operations management at a dental & vision insurance company in Florida, which after several acquisitions and mergers, is now MetLife. He spent five years at Humana in Atlanta selling in the large group segment (100+ employees). In addition to several awards throughout his career, he has earned many professional certifications. Understanding the nuances involved with all aspects of risk management helped business partners rely on his expertise to guide client recommendations. He is an insurance insider that has built dental networks, worked in operations management, designed dental plans, and opened markets. In 2013, he founded Practice Quotient, which specializes in dental insurance PPO network contract analytics and reimbursement guidance, representing the dental provider. As a national public speaker, Patrick educates doctors on how dental managed care participation impacts up to 50% of practice revenue, the importance of diligent contract management, and how to develop criteria specific to a patient acquisition strategy for choosing the best carrier business partners.

Disclosures: No relevant financial relationships were disclosed.

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 0.5 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680


Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
You must register to access.
Deciphering and Negotiating Insurance Network Participation Contracts
Recorded 11/01/2023  |  30 minutes
Recorded 11/01/2023  |  30 minutes
You must register to access.
Post-Quiz
2 Questions  |  Unlimited attempts  |  2/2 points to pass
2 Questions  |  Unlimited attempts  |  2/2 points to pass
You must register to access.
Evaluation
11 Questions
11 Questions
You must register to access.
Certificate
0.50 CDE credits  |  Certificate available
0.50 CDE credits  |  Certificate available
You must register to access.