The country shot!The era of "planting a bite to change a BMW car" will pass

For a long time, the high fees of dental implants have made many people who have been troubled by dental diseases.

Some people have calculated a account, and it costs more than 300,000 yuan for a bite of teeth. Such a cost can buy a house or a BMW car.

Recently, the State Medical Insurance Bureau issued the "Notice on the Price Governance of Medical Services and Consumption (Draft for Solicitation)" (hereinafter referred to as "Draft for Solicitation of Opinions"). information.

"Appointment to get teeth next Wednesday and plant teeth, do you want to wait for a while." Some patients left a message.

Data Map: Patients are treated in the hospital. Photo by Xu Lanqing (have nothing to do with graphic)

Dental implanted consumables collection "arrows on the string"

"The problems of non -standard charges and heavy cost burdens in the field of oral planting have long existed. With the improvement of living standards and deepening population aging, it has become a pain point for people's livelihood. The Medical Insurance Bureau pointed out.

Judging from the content of the draft for comments, this time it also started from many aspects to regulate charges in the field of oral planting, such as price control around the entire dental implants process, organizing the implementation of implant centralized band procurement.

Among them, the establishment of the inter -provincial procurement alliance for dental implants has been mentioned many times before.

The Executive Meeting of the State Council held on January 10 this year has proposed that it has gradually expanded the coverage of high -value medical consumables, and the dental implants that are concerned about the masses will be carried out at the national and provincial level.

Since then, Chen Jinfu, deputy director of the National Medical Insurance Bureau, also said that regarding dental implants, in the first half of this year, he strived to launch a local collection alliance reform.

It is now placed in the draft for comments, which also means that the collection of dental implants has been "arrows on the string."

After the collection, dental implants may usher in a big price reduction

After the release of the comments draft, many patients care about whether the dental implant consumables will bring a big price reduction after being included in the collection.

From the perspective of patient feedback, dental implants, especially the high price of imported dental implants, are a major factor for the overall charges.

In June of this year, the patient Xiaoge underwent a dental implant operation at a dental hospital in Beijing. A total charging order (estimated) provided by the reporter provided by China New Finance and Economics shows that dental implants and surgery costs are about 18,000 yuan, bone powder is about 6,000 yuan, other expenses are about 2,000 yuan, and the total fees are about 26,000 yuan.

The total charging form provided by Xiaoge.

China New Finance reporters browsed the charging information of many dental hospitals and clinics in Beijing. Depending on the implants, the price was divided into multiple grades. The imports of dental implants from South Korea and the United States are below 10,000 yuan, and the Swiss ITI dental implants are concentrated above 10,000 yuan. The most expensive one is All-ON-Four ET dental implant with a price of 110,000.

After the implementation of centralized procurement, can the cost of the patient be reduced significantly?

Earlier, Bengbu City, Anhui, incorporated dental implants into centralized procurement. After concentrated bargaining negotiations, the cost of dental implants (including crowns, a set of implants) reached an average of 84.17%, a maximum decrease of 89.5%.

In addition, with reference to the data released by the State Medical Insurance Bureau, the average of the first six batches of drugs has decreased by 53%. In addition, in terms of high -value medical consumables, the average of the cardiac stent decreased by 93%, and the average price of artificial hip and knee joint was reduced by 82%.

Full process control, which will eliminate price operation space

"In addition to the high price of the material itself, dental implants are really high," Shi Lichen, the founder of Beijing Dingchen Medical Management Consultation Center, once said, that is, the cost of the addition of the material, such as diagnostic costs, treatment costs, other auxiliary materials Cost, doctor cost, etc. If the service charging standard is low, it is difficult to clear the overall price reduction.

The first -phase payment of the first phase of Xiaoge showed that the total amount of the first phase was 7,335 yuan. Among them, the lack of dental planting (50%paid during planting) charged 4,500 yuan. According to its introduction, the second phase of surgery will be performed in October, and the remaining planting consumables and surgical costs will be paid at that time.

The first payment of the payment provided by Xiaoge.

In order to reduce the cost of other projects, the solicitation of the comments also mentioned that the price control work around the entire dental implants process; In the areas of price management, while the medical security departments regulate the price project, they re -formulate the government's guidance price; the masses reflect the implants implant fees, crown crown fees, and bone implant surgery fees with strong expense burdens.

"The complicated cost of dental implant surgery is a difficult point in control. The cost composition of different medical institutions or different price services is large." Said Liu Hui, an analyst of Galaxy Securities and Pharmaceutical Industry.

Liu Hui said that the game of all parties further led to a confusing cost of dental implants. This kind of game thinking makes it more difficult for non -professionals to judge the composition of dental implants. Only by carrying out "one -size -fits -all" control of the project price to eliminate this operation space.

From the perspective of regional practice, price control will also bring great benefits to patients.

This year, the Zhejiang Ningbo Medical Insurance Bureau took the lead in launching a policy of dental implant medical insurance limit payment policy in the country, "agreed to brand, agreed price", limited to domestic brands of 3,000 yuan/piece and imported brands of 3500/piece.

Data map: In the 2020 service robot special exhibition area, oral planting surgery robot attracts visitors. China News Agency reporter, Toshida Photo

A large number of private institutions may participate together

Since the collection of consumables in the past is mainly concentrated in public medical institutions, will private institutions participate this time? Will it be included in the price supervision together? The draft for soliciting comments clearly, in principle, the number of medical institutions (including private) participating in the collection of this collection in principle accounts for more than 40%of the proportion of dental implants medical institutions. Mobilize private medical institutions to participate. At the same time, strengthen the supervision and guidance of oral planting prices of private medical institutions.

"Considering the proportion of dental -implants private medical institutions accounted for more than 80%, such a high participation proportion will inevitably require a large number of private institutions to participate directly in the collection." Liu Hui said that even private institutions that have not participated in the collection of collection must be supervised by price supervision and market competition. Pressure will also pull the price of non -participating private institutions to the same level of private institutions that enter the collection.

In Liu Hui's view, if there are many private participants such as dental implants and are complex and difficult to account for projects, they can limit the price in a total price. Other projects accelerate the implementation of DRG (grouping related to disease diagnosis). What is worth noting is whether the model of dental implants will be replicated in other optional medical consumption fields, especially some projects of ophthalmology and medical beauty.

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Source 丨 China News Network

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Review 丨 Han Dawa Jiang Shuai

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