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<br>https://www.mypractice9.com/<br>Why Are Dentists’ Incomes Declining?<br>
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WhyAreDentists’IncomesDeclining? September18,2017 Dentists’incomesareonthedecline.In9outofthelast10years,dentistshaveseenadropintheir earningsandtheAmericanDentalAssociationhasforecastedthat2017willbeanotherdownyearfor dentists’incomes.ThoughtheeconomyhasreboundedfromtheGreatRecession,dentists’incomes havenotbouncedback.Whatisbehinddentists’decliningincomes?Andwhatcandentistsdoabout it? SupplyandDemand Themostbasicprinciplesofeconomicstellusthatwhensupplyishighanddemandislow,priceswill fall.Thisiswhathashappenedinthefieldofdentistry. Sincethemid-2000’sthedemandfordentalserviceshasdecreased.Thiscouldbe,inpartatleast,due totheeconomicrecession.However,evenastheeconomyhasimproved,demandfordentaltreatment procedureshasremainedlow.Thedentalindustryisuniqueamongmostmedicalfieldsastheclear majorityofdentalworkisdiscretionary.Patientscangoyears…evenalifetimewithoutsuffering complicationsfromamissingtooth.Forexample,thereare174millionAmerican’scurrentlymissingat leastonetooth.Certainly,weallknowfriendsorfamilymemberswhohavelessthanperfectteeth. However,thecostandfearofdiscomforthasbeenasufficientdeterrenttokeeppatientsfromseeking cosmeticororthodontictreatment. Thingsarenotgoodonthesupplysideeither.Despitetherelativelyweakdemandfordentalservices thereisanincreasingnumberofdentists.Thistrendisexpectedtocontinueinthecomingyears,driving downpricesfurther. Hopefully,thedemandfordentalserviceswillpickupagaineventually.Withunemploymentfalling, moreadultsshouldbeginseekingdentalcare.However,thereareotherfactorsunrelatedtothecurrent stateoftheeconomythatareresponsiblefordentists’decliningincomes. CorporateDentalChains Onecauseofdentists’decliningincomesistheriseoflargecorporatedentalchains.Again,thebasic economicscomeintoplay.Bigcorporatedentalchainshavetheadvantageofeconomiesofscale.By sharingresourcesamongmanydifferentlocations,thesechainslowertheiroperatingcosts. Inaddition,mostoftheselargedentalclinicsprovidespecialtyservicesaswell.Thisallowspatientsto receivecomprehensivedentalcareunderoneroof.Theinconveniencethatpatientsexperiencewhena privatepracticedentistreferspatientstolocalspecialistissignificant.Studieshaveshownthatasmany as30-42%ofpatientsneverfollowuponspecialtydentaltreatmentswhentheyarereferredoutsidethe dentalpractice.Corporatedentalchainsdonothavethatissueandarerapidlyacquiringnewpatientsat thecostofthetraditionalprivatepracticedentist. Thankstotheirlowercostofbusiness,corporatedentalchainscanofferservicesatadiscount.While theymaynotbeabletoprovidetheindividualizedcareasaprivatedentist,theystilldrawincustomers
withtheirlowprices.Tocompete,otherdentistsintheareaareforcedtodroptheirownpricesorlosewiththeirlowprices.Tocompete,otherdentistsintheareaareforcedtodroptheirownpricesorlose customers. DecreasingInsuranceReimbursements Furtheraffectingdentists’decliningincomesisadecreaseininsurancereimbursements.Inthepast decade,thefeesthatmostdentistschargeforprocedureshavegoneup.However,theamountthat dentistsarereimbursedbyinsurancecompanieshasgonedown. Therootofthecausestemsfrombusinessesdemandinglowerpremiumsfortheiremployeebenefit plans.ThishasforceddentalinsurancecompanieslikeDeltaDentaltoreducereimbursementsto dentistsfordentaltreatments.Inaddition,insurancecompanieshavecreatednew“lowerbenefit”plans whicharebeingrapidlyadoptedbybusinesses.Dentistsarethenforcedtoacceptthenewplanswith thelowertreatmentcostsandfees.Ifdentistsrefuse,theyruntheriskoflosingasignificantnumberof patientsbecausethatdentistisnow“out-of-network”. Paymentsfromprivateinsurancecompaniesmakeupalargechunkofadentists’income.When reimbursementratesfall,despiterisingcosts,dentistsarelefthurtingfinancially. RisingCostofBusiness Inadditiontothelowdemandfordentalservice,competitionwithbigcorporatedentalchains,and decreasinginsurancereimbursements,dentistsmustalsodealwiththerisingcostofbusiness.Staff salaries,crushingtaxesandregulatoryfees,equipment,andfacilitiesareallcoststhataddupquickly. Newexpensesareconstantlyemergingfordentists.Dentalpracticesarealwaysinvestinginnew technologies.Theswitchtoelectronichealthrecordshasalsobeencostlyfordentists.Strictprivacyand legalrequirementsmakeimplementinganyelectronichealthrecordsystemexpensive. NewSourcesofIncome Tocombatdentists’decliningincomes,manydentistsarelookingfornewrevenuesourcessuchas offeringexpandeddentaltreatmentservices.Thisisadifficulttaskfordentistswhohavebeeninthe generaldentistrypracticefortheirentirecareer.Theprospectofmovingintoofferingmorelucrative specialtyservicesmaybetempting,butmostdentistsdonothavethetime,training,moneyordesireto makesuchaswitch. Instead,manydentistsarepartneringupwithdentalspecialiststobringinadditionalincome.Every year,dentistsreferoutbillionsofdollars’worthofspecialtydentalservicestolocaldentalspecialists suchasoralsurgeons,periodontists,endodontistsandorthodontists.Bykeepingthoseservicesin house,dentistscanaddasmuchas30%ormoreproductionrevenuetotheirpractice. Hiringafull-timespecialistisnotinthebudgetforyouraveragedentist.However,workingwithan itinerantdentalspecialistallowsdentiststooffertheservicesofaspecialistwithoutthehighcost. Itinerantdentalspecialiststraveltotheofficesofgeneraldentistsandperformservicesfortheirclients. Thedentistandthespecialistthenagreeuponatreatmentsharingfinancialstructurewhereprocedure revenueandexpensesaresplit.
Bybringingspecialistsintotheiroffice,dentistscanincreasetheirincomewithoutpayinglargeupfrontBybringingspecialistsintotheiroffice,dentistscanincreasetheirincomewithoutpayinglargeupfront costs.Itshouldcomeasnosurprisethatmoreandmoredentistsarehiringitinerantdentalspecialists. MatchingDentistswithSpecialists Thelogisticsoffindinganitinerantdentalspecialistcanbetricky.Dentistshavespecificprocedurestheir patientsneedatspecifictimes.Howcantheyfindtherightspecialistattherighttimefortheright price? Therearemanynewlocalandregionalservicesthathelpdentistsfindqualifiedspecialists.Mypractice9 isoneofthoseservices.Theonlineserviceisfreetomemberdentistswhocanpostspecialtydental treatmentrequestssuchasamulti-unitimplantcase.Subscribedlocalitinerantdentalspecialistsare instantlynotifiedoftherequestandrespondbyprovidingtreatmentproposals.Thedentistssimply selectthespecialisttheyfeelmostcloselymatchestheirpracticecultureandclinicalneed.Mypractice9 alsoprovidesahugenumberofvaluableresourcestomemberdentists(alsoforfree)suchas pretreatmentchecklists,patientconsentforms,andtreatmentservicecontractswhichoutlinesthe procedures,warrantiesandpaymentterms.Thissystemmakesiteasyforgeneraldentiststofind itinerantdentalspecialistswhocanmeettheneedsoftheirpatients. Bybringingintherightitinerantdentalspecialists,dentistscanseetremendousgrowthintheirpractice. Patientsalsobenefitfromaccesstothebestspecialistsintheirregulardentist’soffice.Thisallleadsto happierpatientsand,hopefully,greaternetincomefordentists. http://www.ada.org/en https://www.mypractice9.com/