Health Insurance. Pay-for-performance and value-based purchasing are terms used to describe health care payment systems which reward doctors, hospitals, and other healthcare providers for their efficiency. Efficiency is usually defined as providing higher quality for a lower cost. Pay-for-performance (P4P) is usually discussed in the context of health care reform.
WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms numbness or tingling and swollen lips including Migraine headache (adult), Generalized anxiety disorder, and Panic attack.
1 Stress and anxiety can also trigger burning vaginal lips because when you are stressed, the nervous system is alert and is hypersensitive to touch and chemicals that leads to itchiness or even pain. 2  Skin diseases such as psoriasis can also contribute to itchy vaginal area.