REIMBURSEMENT STRATEGIES – HOW THEY CAN AFFECT COST & DELIVERY OF CARE

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OVERVIEW Dental reimbursement models determine how providers are compensated for care. The model type can also affect costs, access, and the way care is delivered. Common models include fee-for-service, capitation, reference-based pricing, and value-based reimbursement. Each approach has potential advantages and disadvantages for dental plans, providers, and patients. This article is a broad, high-level overview … Read more

HOW UTILIZATION CAN STABILIZE COSTS

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Summary BeneCare’s outcomes-based dental plans are designed to help remove the barriers to care that can suppress utilization. This encourages members to address accumulated need and consistently maintain preventive care. This creates a shift in the service distribution from treatment towards prevention, helping to lower cost trends and stabilizing premium rates over the long term. … Read more