The 85% Rule: How Dental Loss Ratio (DLR) Laws Are Giving You New Leverage in PPO Negotiations

The 85% Rule: How Dental Loss Ratio (DLR) Laws Are Giving You New Leverage in PPO Negotiationsby: Benjamin TuineiPublished on: 14/04/2026

DLR laws are shifting the power balance and giving dentists real leverage in PPO fee negotiations.

dental loss ratioPPO negotiationsinsurance reimbursementsdental insurance lawsPPO fee increasedental practice revenueinsurance contractsnetwork adequacydental overhead costsprovider reimbursementsinsurance negotiation strategydental billing issues
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The 85% Rule: How Dental Loss Ratio (DLR) Laws Are Giving You New Leverage in PPO Negotiations

The 85% Rule: The Day the Scoreboard Finally Turned On

The 85% Rule: The Day the Scoreboard Finally Turned Onby: Benjamin TuineiPublished on: 23/02/2026

The 85% Rule is forcing dental insurers to show where premium dollars actually go, and that changes everything for PPO negotiations.

dental loss ratio85 percent ruledental insurance reformppo fee negotiationsinsurance reimbursementsprovider reimbursementsinsurance rebatesdental practice revenueppo contractsinsurance compliance lawsdental fee schedulespractice profitability
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The 85% Rule: The Day the Scoreboard Finally Turned On

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