One example of a business plan that uses collective buying power is found in the
dental industry. Discount dental plans negotiate discounts for dental services on behalf of their members. Depending on the details, it may sometimes be considered a
win-win scenario for the discount plan members (dental patients) and for dental care providers (dentists, hygienists, dental specialists, etc.). Patients benefit because they are receiving dental services at discounted rates. The benefit to dentists is that, even though they must offer their services at discounted rates under these plans, they are also likely to increase their patient volume. Depending on the size of the discount offered and the number of new patients, this may be financially beneficial for the dental providers. However, such an arrangement could also result in downsides for both dental service providers and patients. Dentists may end up doing more work while earning the same amount of money. For example, without a discount plan, a dentist may charge $200 per treatment and provide the treatment to 50 patients, earning a total of $200/patient × 50 patients = $10,000. Under a discount plan, the dentist may charge only $125 per treatment, but can provide the treatment to 80 patients, earning a total of $125/patient × 80 patients = $10,000. Note that total earnings under the plan ($10,000) are the same as the earnings without the plan ($10,000). In other words, under the discount plan, the dentist is providing a greater number of services without any increase in earnings to go along with it. There may also be a downside from the perspective of patients in a high-volume practice scenario like this: A dentist who needs to treat 80 patients instead of only 50, while being compensated the same total amount, will have less time and resources available to devote to each individual patient. This has the potential to become a situation of "quantity over quality", and patients might receive lower-quality care overall. In the U.S., the critical term "Medicaid mill" is sometimes used informally to describe dental or medical practices that compensate for low
Medicaid reimbursement rates by seeing a high volume of patients. == Similar terms ==