Technology

Membership Plans Create the Very Best Patients

Plan Forward’s Co-CEO Jane Levy explains how membership plans increase production, collections, treatment acceptance, and create loyal patients.


DSOPro: Tell us about your background and what brought you into the dental industry.

I’m originally from Johannesburg, South Africa. I came to the United States to study for a business degree and then moved to New York where I had a career on Wall Street, investing in public and private companies for others and in my own portfolio. I did that for about 20 years, and through the gains and losses, I learned to recognize the patterns of successful companies: strong leadership vision, differentiated product, and market fit.

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In 2015, I joined the Wits Fund Board (as in University of the Witwatersrand), to raise money for my alma mater. Stan Bergman chairs the Board and brought to the Fund his unique vision and brilliance. Through Stan, I joined Henry Schein’s Global Innovation Center, run by Bruce Lieberthal. There is broad innovation happening in dentistry on both the clinical side and in streamlining the business of running a practice. Like in any business, access to capital matters, but so does a focus on key business metrics. Dentistry is mostly economically resilient, which gives practices some cover even in recession. But to grow a practice or a brand consistently requires a strategy to grow patients, to grow revenue per patient, and to grow profit contribution per patient. That’s it. Every innovation in dental plays in one of these three categories. What excites me is to see that there are more capital funding dental startups than ever before.

DSOPro: Tell us about Plan Forward and why you think there is opportunity in membership plans.

There were a number of reasons for my decision to join Plan Forward. For starters, we can all agree that dental insurance is not useful for patients, who don’t know what’s covered and are subject to deductibles, waiting periods, and limits on benefits, or for providers who are reimbursed on average 60% of all fees.

I’ve seen it at my own dentist – the best way for patients and consumers to pay for their oral care is through a membership plan. Patients love that benefits are easy to understand and there’s no cost creep when they visit the dentist. Providers love the plans because of what they do to production, which can be 2x-3x higher; collections, which are steady and recurring; treatment acceptance, which can be almost double; and because members are the very best patients. There is no AR associated with them, no reimbursement risks, and they are loyal.

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The second reason I joined Plan Forward is because I value the way software automation drives leverage – revenue with less and less cost associated. Practices have been offering membership plans for a long time; many practices offer plans and manage them with an Excel spreadsheet. The analogy I like to use – companies looking to scale do not use Excel to run their sales pipeline; they use HubSpot or Salesforce to automate and manage the pipeline. The same is true in dental – software automates the management of the plans, the membership payment processing, the patient notifications by text and email, and the patient renewals.

And membership software does more: it lets each practice set their own fee schedules, define their own plans, and manage their own members. Practices take back control of their pricing, and their relationship with their patient. With membership, there is no third-party intervening in the oral care decision. In sum, software lets practices/groups custom design their plans, manage them, and then automate patient enrollment, payment processing, notifications, and renewals.

I’ll say a word about what else we deliver – besides tech, we set the practice up with state-by-state compliant membership agreements, and we have well built-out marketing offerings to support the practice to sell these plans to patients, grow members, and reactivate patients to convert to members. We’re working on ways to attract entirely new members, which I can say more about over the next few months.

Finally, as the new platform offers PMS integration, we can enable the practice to monitor things like plan usage and member impact on the practice, and because we can pull production from the PMS, we can work around the practice’s existing workflow; they don’t have to update another system.

DSOPro: Will Plan Forward continue to service solo practice owners? And what size DSOs do you plan to target?

When Megan started the company, she was focused on independents, and we’ll always focus on that market. Now we have a great platform to bring plans to DSOs of any size.

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DSOPro: How did your partner Megan come up with this concept?

Megan was the financial coordinator at a dental practice, and when uninsured patients asked about dental insurance, she would offer a membership plan. She went through the pains and hardships of running her practice’s membership plans in-house: tracking usage, tracking payments, and tracking production so providers could be paid. At one point, the plan became unwieldy to manage, and when she couldn’t find software that worked for her, she went out and developed the platform.

DSOPro: What is different about your membership plan?

Service, Service, Service! There is no problem we can’t solve, or plan program that we can’t accelerate. Our platform is best in class in so many ways – remember it was developed from an office manager’s perspective, so it’s super easy to use. Enrollment is quick, fast, and intuitive. We do not ask the practice to change their workflow; when a patient comes in for services, we can pull that data from the PMS into our platform, and provide analytics, provider commission payments, and member usage. Our platform makes the front office way more efficient.

Our DSO solution is very flexible – if you’ve worked in one DSO, then you know only one DSO! Each location can run its own plans, with all the analytics aggregated and rolling up to the Executive level. You can set roles and responsibilities for each member of your team, so Regionals can run these plans. We can track all services performed by providers in your office, so you can track commissions…the list goes on. I like to say we have built a product with a dental DNA; we have thought long and hard about many of the issues that bubbled up from our practices, and how our platform can solve those issues.

We also have integration to over 27 PMS, which enables us to work with almost any tech stack.

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DSOPro: Is this a turnkey process?

Yes, installing Plan Forward takes about 3-5 weeks (depending on the data complexity) and a few hours with your front office/regional team. We take care of a lot on the backend. We make recommendations to the group on plans to offer, pricing per location, and what services to include. Then we set up the practice, user rights, and plans. The practices select designs for the 100% white-labelled marketing brochures, website landing page, and pick the marketing package that suits their needs. Then we train the team, over and over…as many times as they need. Our Customer Support Team is world-class, and our goal is to answer every support ticket within 1-2 hours.

Once you see the data populate your dashboard, and you see the increases in production, collection, recurring revenue, treatment acceptance, and all those good metrics, then you become a believer!

DSOPro: How many DSOs are using membership plans now?

This is anecdotal, but I would guess that all major DSOs are offering discount plans – patients pay an enrollment fee to access savings a la carte. The group sets one fee schedule, and each location must adhere. There is no flexibility and no recognition of the different patient demographics served by each location. We’re not fans and think that these DSOs should at a minimum consider offering both a membership and a discount plan. As a segment, though, I would guess that 25%-30% of all DSOs offer membership, so we have a long way to go.

DSOPro: What challenges are patients having in this economic environment that a membership plan can help with?

What a period of time we’ve had, right?! We know that inflation finally is starting to slow year over year. I think it’s been slowing for the last 6 consecutive months. But the US economy is definitely still facing substantial headwinds. The unemployment rate is slowly ticking up. Without a job and employer-sponsored insurance, more folks are left uninsured. Plus, with medical loss ratios finally being applied in dental (we saw it first in Massachusetts with Question 2), dental insurance premiums will start to increase, and dental insurance will become more expensive.  

The number one reason patients don’t visit the dentist is that they fear the cost, and the cost creep. With a plan, they have no stress around cost – it’s a fixed cost and the services are listed.

So, if more and more patients have lost insurance, and economic recession makes patients less likely to visit the dentist because of cost fears, then the answer is to offer a membership plan. It’s so simple!

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DSOPro: Any final words?

In sum, it’s been great to have this opportunity to talk about Plan Forward, my personal journey, and our top-notch new platform, Plan Forward Advanced. From the reception in the market, from DSOs large and small, we know that we have something that is solving problems and driving the right business metrics in dental groups.

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About Jane Levy

Jane_Levy_headshot

Jane is currently Co-CEO at Plan Forward. She started her career on Wall Street, at JPMorgan Asset Management, and continued investing at Flatiron Partners, in Series A stage startups. Jane ran a hedge fund and her own family office until she saw the light in 2017 and joined Henry Schein’s Innovation Center. She joined Jarvis Analytics, in May 2020 (sold to Henry Schein) and Plan Forward, as Co-CEO, in October 2021. Jane serves as an Advisor to many dental startups, and as a Director on the Board of CareCru.

Plan Forward

Plan Forward is a leading software company offering dental practices, groups, and DSOs a complete solution to provide membership to their patients and to track the impact of membership on their business.

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