National Medical Insurance Bureau: Strengthen the supervision and guidance of oral planting in private medical institutions

Zhongxin Jingwei, September 8th. The National Medical Insurance Bureau issued the "Notice on the Price Governance of Oral Planting Medical Service Charges and Consumption Price Governance" on the 8th (hereinafter referred to as the "Notice"), which proposed that the price control around the entire dental implants process should be controlled Work, the current medical service price is generally lower than 4,500 yuan per area, encouraging the maintenance of current low prices; strengthening the prices and guidance of oral planting in private medical institutions.

Specifically, the "Notice" has a total of twelve specific contents, involving regulating the medical services such as oral planting medical services and consumables, strengthening the price control of medical services such as oral planting, and carefully organizing the centralized procurement of dental implants and implementing comprehensive management of oral planting charges. aspect.

The price of dental implants medical services price is 4,500 yuan

According to the National Medical Insurance Bureau, the cost of oral planting costs is roughly divided into three parts: implant, crown and medical services.

The prices of the two parts of implants and crown need to be generated by centralized procurement and bidding. Therefore, the "Notice" has no one to set specific quantitative goals.

The expenses of the medical service part account for a high proportion of the overall cost of dental implants. According to the preliminary results of recent registration surveys nationwide, the average cost of the medical service part is more than 6,000 yuan. The cost of provincial and municipalities exceeds 9,000 yuan, which has become one of the important reasons for breeding to teeth. Comprehensive opinion of the masses, medical institutions, and professionals, the price regulation target of the dental implant medical service section of the tertiary public hospitals was 4,500 yuan in the end. For areas or medical institutions that meet specific conditions, the "Notice" also clarifies the conditions that allow appropriate relaxation.

According to the requirements of the "Notice", after the results of the implants and crown bidding, the provincial medical security departments further merge and disclose the price control target of the entire process of dental implants in the region (including implants, crown, medical services, medical services To. Through comprehensive policies that constitute three parts of dental implants, the burden of dental planting costs will be effectively declined.

The "Notice" proposes to the three -level public hospital for a single conventional planted medical service price full process to regulate 4,500 yuan, which refers to the sum of medical service prices such as outpatient consultation, biochemical inspection and imaging examination, implant implantation, and crown crowns and other medical services. , Excluding implants and crown. Its specific significance should be understood from the following aspects:

First, the function of regulating the target is to "control high". In terms of medical service prices, the public welfare attributes of public medical institutions are reflected in the guidance of market prices. The goal of the release of regulation is to open the door to regulate the high price of high prices. For the situation of a single conventional planting, the current price is reduced. From the national perspective, in accordance with the standards required by the "Notice", there will be a relatively significant decline in prices and high prices, and most areas will have a certain degree of callback.

Second, the regulatory target considers regional differences, not a single standard. For example, considering the high -cost factors such as resources and cities with high levels of economic development, high cost factors such as resources and manpower are indeed high. According to the feedback of soliciting opinions, the "Notice" can be clearly floated by 20%of this area. The provincial medical security department is determined and announced by the city.

Third, the target of regulation is the "standard line" of local price governance, not the "bottom line". At present, the total price of medical service projects is higher than the regulatory targets, and the medical security department needs to take targeted measures to reduce prices to achieve the target of regulatory control; if conditions performed, the total price is introduced into a lower range of areas. The expectations of the masses will further reduce the price of medical services; the total price has been lower than the regional regulatory targets (such as cities that have developed dental implants prices in the early stage), and encourage localities to continue to implement affordable prices.

Fourth, the target of regulation is the "high line" of medical institutions, not an absolute "high limit." The specific charges of public medical institutions are subject to the price policies that the local medical security department formulates. The actual breakthrough breakthrough may be related to additional services such as bone planting and soft tissue transplantation. , Do not necessarily mean unreasonable diagnosis and charges. At this time, the regulation target, as the "high line" of medical institutions, mainly guide medical institutions to strengthen more self -restraint, and also reminds patients' vigilance and supervision of obvious super -line charges. By continuous guidance to the expectations of all parties, they will jointly work together. The cost of dental implant medical services is adjusted to a reasonable level.

It is important to point out that the direct role of the regulatory target is public medical institutions, and private medical institutions are still independently priced in accordance with regulations. It is hoped that through the role of "anchor" in public hospitals, the governance effect of regulatory targets is transmitted to private medical institutions, and private medical institutions with high prices will also be aligned with regulatory targets.

With centralized procurement as the main start, competition forms a transparent and reasonable price

In terms of specific measures for oral planting price governance, the State Medical Insurance Administration pointed out that the expensive charges of oral planting are not commonly understood on the small "artificial teeth", but involves planting systems, dental crowns, and corresponding corresponding A series of expenses such as inspection and design and planting surgery need to be classified, comprehensive governance, and comprehensive coverage of the characteristics of various links, various consumables and services.

First, the price of medical services is mainly based on government regulation, strengthening the public welfare of public hospital prices and the role of "anchor".

First, standardize the integration of oral planting prices. The National Medical Security Bureau will introduce rules to guide localities to focus on public medical institutions, uniformly charged projects, integrate and split fine projects, and remove unreasonable projects. The second is the medical service price of the overall regulation of oral planting. The "Notice" requires the total price of a single conventional dental implants medical service part in principle that it does not exceed 4,500 yuan. Focusing on how to achieve this goal, targeted design governance plans, formulating project prices, supervision hospital charges, avoiding medical service price governance on project theory projects, and "pressing the gourd floating scoop". The third is to strengthen the public welfare and "anchor" of public medical institutions. In the field of oral planting, a considerable number of public medical institutions are higher than private medical institutions. The "Notice" requires localities to adhere to the principle of public welfare, reduce prices such as implant fees, crowns, and bone planting expenses such as crowns, and bone planting expenses in public medical institutions. The level of the masses is expected to formulate reasonable prices. Second, the dental implants consumables are mainly based on centralized procurement, and competition has formed a transparent and reasonable price. Among them, as industrial finished products supplied by standardized production and cross -regional supply, referring to the experience of collecting high -value medical consumables such as coronary stent and artificial joints, and implementing the alliance of alliance in Sichuan Province and all provinces participating in the procurement. All public medical institutions that are required to provide oral planting services will participate, and the private medical institutions are required to actively participate in the amount of price replacement. The personalized requirements of dental crown processing and production are high, and the interaction with the clinical use is closely interactive. At this stage, it is mainly based on exploring the auction hanging network. To promote the prices of the crown and the sun, the sun is transparent.