Should I Go Out-of-Network?
With stagnant or decreasing reimbursement and rising expenses, more practices are considering going out-of-network (OON) with some insurers. However, what information must owners consider when making this decision? In this article (Part 1 of 3), I will answer the following questions:
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Looking forward to Parts 2 and 3. What other product or service has not had a price increase over the past 20+ years? How is this sustainable and why are my competitors continuing to do business with these guys? How long will practice owners continue to take money from their own pockets in order to give their staff raises and pay the bills?
The reason your competitors continue to do business with these guys are the reasons I discussed in this article.
With the Debt Fairness Act passed in MN in 2024, wouldn’t going OON just leave a practice with lots of unpaid debt? The Act ban medical providers from withholding medically necessary care due to unpaid debt.
If going OON means going cash pay only, then that may be the only way to avoid getting caught up in unpaid debt. What do you think?