When Insurance Merges, Your Reimbursement Gets Worse. Guaranteed.

When Insurance Merges, Your Reimbursement Gets Worse. Guaranteed.

United merged its dental division with Assurant. Humana and Cigna consolidated their regional plans. When carriers consolidate, they use the leverage to cut reimbursement and increase denials.

You care because merged entities renegotiate PPO contracts to their advantage. Expect 3-8% fee cuts within 12 months. Denial rates always rise post-merger as the consolidated entity "tightens medical necessity criteria."

Don't wait for your rep to call with the bad news. Get in front of the reimbursement drop now. Renegotiate fee-for-service cases, raise treatment plans to account for expected claim rejection, and consider going in-network only if your patient base is already covered. Margin compression is coming.