Howie’s note: when you first open doors everyone is paranoid that their practice won’t succeed because of being excluded from narrow network plans. There have plans I have been trying to get onto for years that have exclusive contracts with the big groups in town as described above. Guess what, my practice is doing fine and I’m as busy as I want to be.
Ironically, some of my referring primary care docs told me they tried to lobby to get me on one of these plans because they like my practice more than the big groups in town. The bottom line is you don’t have to be on every single plan, nor should you feel obligated to be on a plan if they pay poorly or don’t pay at all, or set up a ton of roadblocks like prior authorization.