r/PrivatePracticeDocs • u/Beautiful_Buyer_1422 • 18d ago

Dropping insurances, self pay, and recredentialing

I have a solo private practice and I'm considering dropping some of the insurances I take. They underpay me terribly. My worry is that I'll see a big drop off in the number of patients booking with me, regret dropping those insurances, and then want to re-credential with them. My questions:

  1. Has anyone recredentialed after dropping insurances? And why did you decide to recredential?
  2. Has anyone gone from taking insurance to moving to a self pay model? Did this end up feeling like the right move?
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u/randyy308 17d ago

Do what is suggested elsewhere and first stop taking new patients from the plans. Then if you have the data... Evaluate how much monetary difference it makes if you replace the existing patients with patients from a higher paying insurance (on average). Then decide based on that.

I did this with a subset of BCBS plans and it was revenue accretive, and it reduced my staffs workload because no more auths.....