"The most difficult collection in history", the medical insurance bureau: it will reduce a lot

Author:Kenji Bureau Time:2022.09.23

The last step of rectification of dental implants finally arrived.

On the evening of September 22, the Sichuan Provincial Medical Insurance Bureau issued the "Provincial League Procurement Procurement Announcement" of the Oral Plant System, saying that it will take the lead in the establishment of the provincial alliance concentration and volume procurement office, which will lead the implant system collection. Pharmaceuticals recruitment service center execution.

In other words, after high -value consumables and Chinese medicine, dental implants also have their own "Liancai Office". In the future, Shanghai, Tianjin, Hubei, and Sichuan will become the four leaders of collecting collection.

Since the collection of information from companies in November last year, Sichuan has experienced the information declaration of two rounds of oral implants. In the end, the National Medical Insurance Administration clarified that the cost of planting surgery was not higher than 4,500 yuan, and the dental implants were long overdue. If it is not for the National Medical Insurance Bureau to clearly adopt the "separation of skills", it may be far away.

According to the National Medical Insurance Bureau: After the planting system is collected, "the price will decline to varying degrees." How much can I drop? See you soon.

Product quotation is not higher than the lowest price in the previous year

Although the medical insurance does not reimburse, the price of the national team's planting system is the same as the collection of drugs.

The Jianzhi Bureau learned that the dental implants components of this collection include implants, repair base platforms, as well as accessories such as healing base platforms, metastasis rods. There are two types of product systems.

According to procurement documents, 90%of the top procurement demand for medical institutions, and companies that can meet the supply will be attributed to A's bidding unit, and the rest will be automatically scheduled to Unity B. The fourth -level pure titanium implant should ensure that the A unit reaches more than 8, and it will be supplemented from Union B.

Such a group policy may mean that the competition for dental implants will not be too fierce. This is exactly the same as the pricing idea of ​​4,500 yuan in dental implant medical service fees: the overall fee control will be mild. But the specific price reduction is still very large.

Sichuan has not announced the highest and effective application price of the product, but it only stipulates that the quotation of the enterprise cannot exceed the lowest price of the "three -level public hospital and large private chain medical hospital" in 2021. And according to regulations, each product system does not distinguish between specifications. Therefore, the previous sales base price of implant products has actually become an important reference.

At the beginning of September, the National Medical Insurance Bureau found in the investigation that the general brand purchased by public medical institutions was 2000 yuan-3500 yuan, and high-end brands were around 4,000 yuan -6000 yuan. Regarding the decline of the planting system after collection, the State Medical Insurance Bureau said that although it is "not determined", "it can be reduced a lot."

Sichuan has not disclosed the proportion of the specific shortlisted enterprises and the purchase volume distribution ratio of implants, but it is indicated in the collection document that within the same bidding unit, the product system quotation Election qualifications. The "price difference" is not clear. It is not clear at present.

Domestic brands are mainly, and private institutions voluntarily participate

After the collection, where can everyone grow cheap teeth?

According to the requirements of the Sichuan Provincial Collection Documents, all public hospitals and private hospitals with designated medical insurance should participate, and other medical structures are "encouraged to actively participate."

The market generally believes that after the overall price reduction of public hospitals, it will inevitably affect the private market. At that time, even if the private dental clinic has the right to "independently adjust the price", it is actually impossible to maintain a high price. Moreover, in accordance with the regulations of the State Medical Insurance Bureau, if doctors in public hospitals practice more in private dental clinics, the public hospitals they belong to "responsibility to urge them to regulate their participation in collective mining."

Private dental agencies have actually felt: it is impossible to escape the collection. In early September, Lu Jianming, chairman of Tongce Medical, said at a exchange meeting: After the rectification of dental implants, the State Medical Insurance Administration "basically controls the highest price of public hospitals", and private institutions "will also adjust the price of public hospitals". Essence

Private dental institutions occupy more than 60 % of the country's markets. The State Medical Insurance Bureau can allow these institutions to accept prices and reduce prices.

Lu Jianming bluntly stated at the aforementioned exchange: The greatest benefit brought by the rectification of dental implants for more than this year is "improving market penetration": "In China, a 1.4 billion population country, the price is easier to form more. Large -scale business ".

Data show that as of 2020, the number of dental implants per million people in China has been less than 30. But in South Korea and other countries, this number has reached about 600. China's dental implant market has great potential.

At this point, consumables manufacturers know. At the beginning of September, the Sichuan Pharmaceutical Reception Service Center announced the list of enterprises and products participating in the "basic information maintenance of the oral implant system product". Total 46 companies' 409 products were shortlisted. Domestic brands accounted for the majority, but Shizhuoman and Austrian teeth were available. Thailand, Deng Teng, etc., which are in the market, are also listed in the market.

According to the collection documents, the procurement cycle of the implant system is 3 years, and this time it only puts only one year. According to the regulations, after the first year of procurement, the number of renewal procurement agreements "in principle is not lower than the agreement procurement of the previous year." In addition, the top companies in the election are "tilted in the determination of the procurement of the agreement."

In front of "volume", how many companies are willing to refuse?

Writing | Su Lin

Edit | Jiang Yun Jia Ting

Operation | Ren Jiahui

Illustration | Visual China

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