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NEW GAME The new game of dentistry is based on the following changes: 1. The dental economy was significantly affected by the recession of 2008–2009. While the U.S. economy has recovered following the housing crisis, dentistry hasn’t fully bounced back. The Great Recession has ushered in a host of game changers that are permanently altering the profession, leading to increased competition in all areas of dentistry. 2. Patients have changed the way they think and behave regarding dental care and dental practices. As I explain in my seminars, the public now views dentistry more like a retail business. There are thousands of dental practices in shopping centers and malls. These offices advertise regularly, promoting various specials to win over new customers (patients), using many of the same strategies employed by department stores, supermarkets and other retail outlets. So what are some of the new consumer behaviors? Patients will leave practices if they change their insurance and it isn’t accepted by the current practice. They don’t view having regular hygiene care every six months as absolutely necessary. Some patients will even try to negotiate fees. This may be related to the fact that most consumers don’t expect to pay full price for many products and services. 3. Since 1997, 12 new dental schools have opened, resulting in an increased supply of dentists. In addition, older dentists are postponing retirement to make up for declining revenue and insufficient retirement savings. Whenever the supply of dentists goes up, competition increases as well. 4. Dental insurance companies are continuing to decrease reimbursements. I believe that in the near future all dental insurance will be dropping to the PPO level of payment, and we are seeing increased numbers of companies moving in this direction. Lower reimbursements drive down practice revenue and profitability. 5. Dental support organizations (DSOs) continue to grow. These practices advertise heavily, offer expanded hours, provide a wide range of general and specialty services under one roof, and participate in most dental insurance plans. Many consumers prefer the convenience of one-stop dental shopping offered by large practices. DSOs will continue to grow in the decade ahead, intensifying competition for new patients. However, I believe there’s plenty of room for private practices to thrive in this new dental economy. Success depends on how well each practice is operated and managed. There are other game changers that can be included in this list, but the main point is that we are in a new game. Fortunately, there are best models available for dentists to compete successfully in this changing landscape. NEW RULES Prior to the Great Recession, the profession benefited from a low supply of dentists and high demand for dental services enabling nearly all practice owners to grow their practices. As a result of the game changers, that situation has reversed itself. Today, there are more dentists competing for a smaller pool of patients. To succeed in this new environment, you need to be aware of the new rules, which include: 1. More business skills are required. In the pre-recession past when growth was automatic, dentists didn’t have to focus as much on the business side of dentistry. Today, that’s no longer true. Dentists need to be both expert clinicians and CEOs to thrive in this new era. 2. Customer service matters more than ever. Being “just another dental practice” isn’t good enough anymore. In today’s crowded dental marketplace, you want to stand out from the competition. Exceptional customer service is always a differentiator, especially with new patients. It separates you from the rest of the pack. When you amaze your patients with “WOW” customer service, they’ll tell their friends about your practice, post positive reviews online and serve as volunteers in your guerilla marketing team. Great customer service reverberates throughout your community and enables your practice to more easily realize its growth potential. 3. You have to do more with what you have. As the competition for new patients heats up, focus on building stronger relationships with your current patients by promoting comprehensive care that addresses immediate and long-term needs… emphasizing the full range of services, including cosmetic treatment… and providing great customer service that elicits more word-of-mouth referrals. Of course, you still need to implement effective marketing strategies to reach new patients, but don’t overlook the patients who have already chosen your practice as their “home” for oral health care. THE NEW PLAYBOOK You can’t rely on yesterday’s playbook to succeed in today’s new game. Ten years ago, dental practices could get by with haphazard systems, processes and protocols. You may not have been at a top practice, but you still could muddle through and do fairly well. That’s no longer true. Too much has changed in the intervening years. Fortunately, you still can achieve great success as a dentist, but you have to do it differently than in the past. In Hershey on April 28, 2018, I’ll be discussing the three-step Levin Group Method, which our consulting clients use to dramatically grow their practices. Let me provide a little preview of my presentation. The new playbook includes these three steps: SEP TEM BER/OC TOBER 2017 | P EN N SYLVAN IA DEN TAL JOURNAL 21