I am concerned about the Viewpoint article by Robert Maccario in the September issue promoting managed-care dentistry. I would refer you to the letter in the July issue of Dental Economics from Dr. Robert D.
Helmbholdt: "... managed care is an enormous profit-maker for the insurance industry, generated through deceit."
This article by Mr. Maccario is only a continuation of that same old deceit, using the old "excess capacity" example to make his point. Truthfully, if your overhead is 75 percent and you accept a plan that covers only 75 percent of your fee, you lose, period.
We do not get adequate training in the business aspects of running a dental practice while we are in dental school. The ADA has recognized this and has instituted a whole series of CE courses and programs on how to analyze what we do from a business standpoint. The University of Washington has addressed this situation with a new course on viewing the dentist as the CEO of his or her practice. You don`t have to get an MBA to figure the return on a managed-care practice.
Dennis Riendeau, DDS