Quote:
Originally Posted by Dentoman
If the patient refuses to stay in the practice due to increased copay + insurance company does not lessen its premiums to assist patient to pay the increased copay = small business eats the cost of the fee guide.
My office will follow the 2017 Fee Guide put out in the fall. The further reduction in the 2018 Fee Guide is too significant for me to absorb and I refuse to reduce wages for my staff since they are likely more valuable to my patient base than I am (some have been with me for 20 years). I will look for efficiencies and try to negotiate lower supply costs, but really, outside of wages, there is not much wiggle room on a lot of costs.
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you likely can't negotiate lower supply costs without using inferior product.
you probably have to use a distributor as you can't afford to have a dedicated purchaser who can haggle with and purchase from scores of manufacturers.
especially when there wouldn't be much of a volume discount and you'd have to deal with shipping, US exchange rates and customs charges, staggered deliveries and extended shipping times.