Practice Profile
With a large patient base of approximately 2,500 active patients, the practice, like many others, faced increasingly low reimbursement rates from insurance companies. In 2022, it made a strategic decision to go out of network.
- Membership Program Launch: 2022
- Total Number of Patients: 2,500+
- Membership Subscription Revenue: $600,000+
- Patients on Membership Plan: 600
- Average Production Per Year: Members: $1,442 | Uninsured: $1,034
- Average Collections for Prophylaxis: $150
400%+ increase in revenue since moving out-of-network
Despite bracing for a significant patient loss, estimated by a major healthcare services company to be between 25% and 30%, the practice only lost 2% of its patients after making the switch, a testament to strong patient relationships. The decision also empowered patients to understand their insurance benefits better and how much they were paying out of pocket, even with insurance coverage.
Membership that provides predictable practice income
Recognizing the need to provide an alternative for patients and to secure predictable revenue, the practice spent almost a year researching membership plan providers. They chose Clerri because of their unwavering commitment to patient care and customer service. Implementing the membership plan involved training staff and educating the patients about the new offering. The membership plan was promoted through a link on the practice’s website and fliers in the office, maintaining a confident, non-pushy approach.
The impact of going out-of-network, combined with the membership plan, has been significant, with the minimal patient loss offset by increased revenue. The practice now receives an average of $150 for a cleaning compared to just $25 previously reimbursed by a major insurance carrier. This shift has also led to a substantial reduction in the administrative burden associated with chasing insurance payments.
Of the practice’s 2,500+ patients, 600 are on the membership plan. Members demonstrate higher engagement and investment in their dental health, spending an average of $1,442 annually on procedures, compared to $1,035 for uninsured patients.
Members generate 39% more production than uninsured patients.
The practice views the partnership with Clerri as an extension of its own team, especially when patients contact them directly for assistance with renewals or clarifications, noting that Clerri support always represents the practice's best interests.
The practice’s office manager also praised the platform's user-friendliness and marketing support, including custom in-office materials, digital marketing tools such as email, Google Ads, and social media templates, a patient landing page, and how-to guides.
Their journey illustrates how a strategic decision to go out-of-network, supported by a well-implemented membership plan, can lead to increased revenue, reduced administrative work, and greater patient value, all while maintaining strong patient relationships.
