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Oral Piercings: Tongue, Lip, and Cheek At hospitals, for example, most revenue is still made the old-fashioned way: fee-for-service, through health insurance provided by for-profit companies, as opposed to government programs. Value-based payments consist of only 5% to 10% of a hospital’s revenue on average, according to Celina Burns, vice president of value-based-care strategy and program development at Irving, Texas–based Vizient, a health-care performance-improvement company. She works to develop those offerings for the company’s hospital members.
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GM Delta’s Premier dentists are not in the PPO network but have agreed to accept a reduced fee for services and also will complete and submit claim forms for you. Delta Dental covers 75 percent of basic dentistry costs after annual deductible if you use a Premier dentist, up to $1,500 per year. If you go to a dentist not affiliated with Delta Dental, you may have to pay the dentist’s total fee and then submit your claim form to Delta Dental for reimbursement. Delta cannot assure you what percentage of the charged fees may be covered.
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