Use administrative means to reduce the cost of dental planting, can the State Medical Insurance Bureau do it?

On August 16, Tongce Medical was influenced by policy the next day and the stock price fell.

This time, the "tooth" diving is still a dental implants. On the evening of August 12, the news that the State Medical Insurance Bureau demanded that oral planting charges and medical service surveys began to spread in the industry. On August 15th, the WeChat public account of "China Medical Insurance" magazine released news that the National Medical Insurance Administration's price recruitment department has organized a discussion of well -known hospitals in the field of oral planting.

Price survey and discussions are implemented simultaneously. The core purpose is not just to carry out implants, but to directly aim at high -breeding costs.

The Jianzhi Bureau noticed that Hunan, Shaanxi, Anhui, Jiangxi and other provinces have begun deployment related work.

Most of the dental implants are carried out in private hospitals and clinics. If the National Medical Insurance Bureau really wants to reduce the cost of the planting, it is necessary to move the surgical fee of different prices. But this is far beyond the category of medical insurance, involving the charges and costs of many dental clinics throughout the society, and it is destined to be a difficult job.

Can the National Medical Insurance Bureau do it completely?

A "full process" regulation

In June of this year, the National Health and Health Commission released the "Key Points of the Elementary School of Correction in the Field of Medical Purchase and Medical Services in 2022". The purchased medical institution conducts "key inspectors".

The national collection has been carried out for 4 years. It is not common to make such a "straightforward" requirement for a specific category of high -value consumables.

However, this approach is not difficult to understand. The sound of dental implants from the national "two sessions" of last year to the present, the leading province has been set, and the information declaration work of the implant system has also been carried out, but it has not been able to achieve more substantial progress.

Some practitioners introduced to the Jianzhi Bureau that the cost of dental planting is generally composed of three parts: the material fee, the crown champion and the surgery fee of the planting system, and roughly calculated that the cost of the consumable part is only about 30 %. Earlier, a survey of institutions announced by Tongce Medical also showed that the proportion of the company's cost of planting orthodontic consumables was around 25%.

The main part of the planting charges is surgery.

In the past, the logic of high -value varieties such as cardiac stents was that it was naturally cheap after cutting off the water in the consumables. Because bracket surgery is generally carried out in public hospitals, there are clear charging standards, and the surgery itself is not charged. However, for dental implants, the logic of collection cannot be simply copied by the past experience. If you want to reduce prices, you cannot only "cut" consumables.

On August 15th, "China Medical Insurance" magazine said that the State Medical Insurance Bureau recently took "well -known hospitals in the field of oral planting, some implant production and operation enterprises", etc., and opened a symposium on oral planting prices together: everyone Not only talked about implants, but also focused on topics such as "regulating the method of dental planting charges and regulating the price control of dental implants".

There are many problems with domestic teeth services. According to the relevant person in charge of the Anhui Bengbu Municipal Medical Insurance Bureau, which has already carried out the pilot of dental implants, the current medical institutions are "different in dental implants for the same material". The quality of dental implants is also "uneven".

The purchase price of a dental implanted dental implants restricts the prices of a dental implants from 950 yuan to 1,800 yuan. The surgical fee depends on the hospital level, ranging from 1800 yuan to 2200 yuan.

According to the Bengbu Municipal People's Government, after the bargaining, the maximum cost of planting in pilot medical institutions in the city decreased by 82%. Originally, at least 8,000 yuan of dental implant surgery, now it only costs less than 3,000 yuan.

The Jianzhi Bureau noticed that similar to Bengbu City, the dental implant collection plan launched by Ningbo, Zhejiang before, also started from two parts: consumables and medical services, and at the same time, the price was limited to the overall price of the planting tooth.

Successful cases are first. This time, the State Medical Insurance Administration's strategy of regulating the price control of dental implants has also been guaranteed.

The problem is "the market does not recognize"

Compared with the two versions of dental implants in Ningbo and Bengbu, Zhejiang, you can find several common characteristics.

First of all, the collection of medicines or consumables in the past relies on the powerful payment party of public hospitals to change the price by quantity. However, in dental implants, one does not involve medical insurance, and the second specific surgery number of the Health and Health Commission will not monitor. Even if the "collection" is "strong", the right to speak is limited.

The dental implantation collection of Bengbu is only a "pilot". There are only 15 private medical institutions and 11 public medical institutions in total; although the number of participants in Ningbo Edition collection is as many as 130, the public ratio accounts for only 6%. According to the "Finance and Economics" magazine, Ningbo dental implants integrated insiders said:

When negotiating the price with the hospital, the hospital was loosened after repeatedly "emphasizing that all the planting projects were reduced".

Secondly, the implant manufacturers of winning bids are not "mainstream". According to Guoxin Securities data, in the domestic dental implants market, the three foreign companies of Ogai, Dengteng, and Shimorman accounted for nearly 80%of the market. Earlier, there were a total of 9 bidding brands in Bengbu City's dental implants. Compared with Ningbo, there were 4 brands: Shizhuoman, Wo Zhi, DIO, and Baikangte, of which the first three were imported.

Several dentists have previously told Jianzhi Bureau that domestic brands are inferior to quality, and their recognition in doctors is not high. However, "domestic goods" also have an advantage that imported products cannot be compared: cheap. According to Guohai Securities Research Report, the prices of domestic, Korean, and European and American implants are about 400-600 yuan, 500-800 yuan, and 1800-2300 yuan, respectively. In Ningbo, the selected domestic and imported brands of dental implants are "one -boded", which are 1,000 yuan and 1,500 yuan each; in Bengbu, the prices of each one are different, but imports are higher than domestic production, such as Spanish manufacturers MG MG, such as MG manufacturers MG MG A dental implant is 1500-1800 yuan, while the price of domestic brand ZDI is 950-1000 yuan.

Therefore, it is not so much a dental implanted "collection", it is better to say that it is more like a "price limit" promoted by administrative means.

The Jianzhi Bureau learned that in the survey of dental implants prices carried out by the State Medical Insurance Bureau this time, in addition to reporting a single price, various medical institutions also need to indicate the standards for charging fees, pricing subjects, etc. The overall "packaging" price.

According to the regulations, the provinces must complete the dental implant price survey within the jurisdiction by the end of August, and report to the State Medical Insurance Bureau before September 15.

Writing ｜ Guyue

Edit ｜ Jiang Yun Jia Ting

Operation ｜ Valley

Photo Source ｜ Visual China

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