title: Dental practice satisfaction with preferred provider organizations.
abstract: BACKGROUND
  Despite their increasing share of the dental insurance market, little is known about dental practices' satisfaction with preferred provider organizations (PPOs). This analysis examined practice satisfaction with dental PPOs and the extent to which satisfaction was a function of communications from the plan, claims handling and compensation.
  
  
  METHODS
  Data were collected through telephone surveys with dental practices affiliated with MetLife between January 2002 and December 2004. Each respondent was asked a series of questions related to their satisfaction with a systematically selected PPO with which they were affiliated. Six different PPO plans had sufficient observations to allow for comparative analysis (total n = 4582). Multiple imputation procedures were used to adjust for item non-response.
  
  
  RESULTS
  While the average level of overall satisfaction with the target plan fell between "very satisfied" and "satisfied," regression models revealed substantial differences in overall satisfaction across the 6 PPOs (p < .05). Statistically significant differences between plans in overall satisfaction were largely explained by differences in the perceived adequacy of compensation. However, differences in overall satisfaction involving two of the PPOs were also driven by satisfaction with claims handling.
  
  
  CONCLUSIONS
  Results demonstrate the importance of compensation to dental practice satisfaction with PPOs. However, these results also highlight the critical role of service-related factors in differentiating plans and suggest that there are important non-monetary dimensions of PPO performance that can be used to recruit and retain practices.
authors.affiliation: University of Connecticut School of Dental Medicine, Department of Oral Health and Diagnostic Sciences, Division of Behavioral Sciences and Community Health, MC 3910, 263 Farmington Avenue, Farmington, CT 06030-3910, USA. aseltine@uchc.edu
authors.forename: Robert H
authors.initials: RH
authors.lastname: Aseltine
authors.forename: Susan
authors.initials: S
authors.lastname: Reisine
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Schilling
authors.forename: James
authors.initials: J
authors.lastname: Kennedy
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D003258:Consumer Behavior; D003815:Dentists / Q000523:psychology; D005245:Fee Schedules; D005250:Fees, Dental; D006801:Humans; D007345:Insurance Claim Review; D007347:Insurance, Dental / Q000706:statistics & numerical data*; D011215:Practice Management, Dental; D011243:Preferred Provider Organizations / Q000191:economics / Q000592:standards*; D017009:Professional Autonomy; D011795:Surveys and Questionnaires; D014481:United States