The Money Conversation Framework™ for DSOs, Groups and Enterprise Healthcare Organizations | Finance Rx®
A system for patient affordability, case acceptance, and revenue consistency across multi location healthcare and dental organizations. Executive briefing available.
The Money Conversation Framework™ for DSOs, Groups and Enterprise Healthcare Organizations
The system behind patient affordability, case acceptance, and revenue consistency across multi location dental and healthcare organizations.
Built for scale. Designed for regulated environments. Implemented with leadership alignment and operational clarity.
Want to understand how your team is doing?
Download our Money Conversation Readiness Checklist
A quick assessment for healthcare and dental organizations operating at scale.
Use this checklist to evaluate how consistently your organization guides patients through affordability conversations at the point of care.
What it assesses:
Leadership and alignment
Workflow and handoffs
Patient experience and language standards
Options and policy architecture
Measurement and governance
How scoring works For each statement, select one score. 0 Not in place 1 In progress or inconsistent 2 Consistent across locations Maximum score is 60.
Request Executive BriefingWhy DSOs, Groups and Enterprise Healthcare Organizations lose revenue in silence
Most organizations do not have a demand problem. They have an affordability execution problem.
Clinical care can be strong and patient trust can be present, yet decisions still stall when the money conversation becomes unclear.
In a multi location environment, affordability conversations often vary by location, by role, and by personal comfort level. That variation creates outcomes leadership never intended.
Patients delay care
Teams avoid the conversation
Case acceptance becomes inconsistent
Revenue becomes harder to forecast
Insurance contributes, but insurance alone does not solve affordability. The gap is operational, not clinical.
What this is
A system, not a script. An operating model, not a training event.
The Money Conversation Framework™ standardizes how financial conversations happen across your organization so diagnosis reliably turns into decision.
It provides a repeatable structure for what is discussed, when it is discussed, and how it is discussed, with patient trust and compliance protected.
It is designed to support enterprise deployment across locations, acquisitions, and team turnover without relying on hero performers or inconsistent workarounds.
What it changes
Consistency at the point of decision
The framework is built to reduce variability and friction in the financial conversation so leaders can expect more predictable execution.
Outcomes it is designed to support include
More consistent case acceptance
Reduced revenue leakage tied to affordability confusion
Greater confidence at the point where care decisions are made
Stronger patient experience with less pressure and fewer surprises
Who it is for
Built for DSO leadership, groups and multi location healthcare operations
This is designed for leaders responsible for growth, standardization, and performance across multiple sites.
Typical stakeholders include
CEO and COO
CFO and finance leadership
VP Operations and regional leadership
Revenue cycle leadership
Clinical leadership and practice leadership
Patient experience leadership
Implementation approach
Designed to deploy across locations without chaos
Implementation is structured so leadership intent becomes operational reality.
Phase 1
Executive alignment and objectives
Clarify what consistency means for your organization and where the affordability conversation currently breaks down.
Phase 2
Baseline assessment
Map how money conversations happen today across locations, roles, and patient pathways. Identify variation, friction, and risk points.
Phase 3
Framework deployment
Introduce the conversation structure, workflows, and standards that teams can execute consistently.
Phase 4
Pilot and rollout
Prove the model in a controlled environment, refine, then roll out with governance so it sustains across sites and acquisitions.
Phase 5
Sustainment and governance
Maintain consistency through onboarding, reinforcement, and leadership reporting.
The goal is repeatable execution, not dependency on one person or one location.
Governance and compliance posture
Ethical, compliant, and patient centered
Financial conversations in healthcare and dentistry sit inside regulated and reputation sensitive environments. The framework is designed to support ethical practice and reduce risk.
The work is built around
-Clear boundaries between clinical recommendations and financial options
-Respectful patient communication without pressure
-Consistency that reduces improvisation and risk
-Structures that leadership can govern across locations
What we measure
What leadership can track
The Money Conversation Framework™ supports leadership by giving clear operational points to measure and manage.
Common measures include:
-Case acceptance consistency across locations
-Time from diagnosis to decision
-Treatment start rates
-Cancellation and reschedule patterns tied to affordability
-Utilization of payment options and approval rates where applicable
-Patient experience signals related to financial clarity
-Team confidence and consistency indicators
Specific measures should match your current reporting and operational definitions.
About the architect
Architect of The Money Conversation Framework™
Nancy Kay Coy is the creator of The Money Conversation Framework™ and the author of the Finance Rx® series, including Patient Lending Done Right.
Her background spans decades in patient and consumer lending, including building and operating finance companies, advising executive teams, and working inside highly regulated environments.
She does not sell lending products.
She does not teach scripts in isolation.
She helps organizations implement the system behind how money conversations work ethically, compliantly, and at scale.
FAQs
FAQ 1
Do you replace our lenders or financing partners
No. The framework is not a lending product. It is a conversation and execution system that can work with your existing supplier (lender) strategy.
FAQ 2
Is this training
Training can be part of implementation, but the offer is not training. The offer is a system that standardizes execution and can be governed by leadership.
FAQ 3
Is this only for dentistry
No. It is built for healthcare and dental organizations where affordability impacts care decisions and revenue predictability.
FAQ 4
What if our locations operate differently
That is common. The framework is designed to create consistency where variation exists while respecting operational realities.
If affordability is impacting predictability, the next step is clarity.
Request an executive briefing to discuss where the money conversation is breaking down and what standardization could look like in your organization
