National Medical Insurance Bureau: The full process of dental implants medical services is 4,500 yuan a dental

Today (September 8), the "Notice of the National Medical Security Bureau on the Special Governance of Oral Planting Medical Services and Consumption Price Governance" was officially announced. The notice is clear that the oral implants will be mixed, the crown will be bidded, and the dental implants medical services will be regulated. Among them, the full process of medical services in the third -level public hospital for medical services is 4,500 yuan a dental.

Attached::

Notice of the National Medical Security Bureau on the launch of oral planting medical services and the special governance of consumables

Medical Insurance Distribution [2022] No. 27

Provincial, autonomous regions, municipalities, and Xinjiang Production and Construction Corps Medical Security Bureau:

In order to implement the decision -making and deployment of the Party Central Committee and the State Council, ensure the people's obtaining high -quality, efficient, and affordable dental repair services, meet the people's longing for a better life, promote the healthy and orderly development of the oral planting industry, and follow the joint joints of the nine ministries and commissions. The requirements of the "Key Points of the Equality of Correction in the Field of Medical Purchase and Medical Services and Medical Services in 2022, and carry out the special management of oral planting prices to comprehensively cover public and private medical institutions. The relevant work requirements are notified as follows:

1. Regulate the method of oral planting medical services and consumables

(1) Orderly pushed into the "skill separation" of oral planting medical services. Public medical institutions provide oral planting medical services, mainly using "service projects+special consumables" to separate pricing methods. That is, the prices of implant implantation fees are priced separately from the price of implant consumables; the crowns are priced separately from the prices of crown products; bone planting costs are priced separately from bone meal and osteosum prices. When the current consumable merger is charged in medical service price projects, when "separation of skills" is implemented, the project price shall be reduced in accordance with the method of deducting the average price of online purchases of relevant consumables.

(2) Improve the mechanism for the price formation of dental crowns. The Sichuan Provincial Medical Guarantee Bureau bids the mainstream all -porcelain crown tissue in the province, hanging the net according to the sunshine transparent price formed by the competition, and other materials refer to the price of the whole porcelain crown. The National Medical Security Bureau guides other provinces to implement price linkages. Public medical institutions are sold independently based on clinical needs, and they are sold at the "zero rate" at the hanging network price. The crown produced by a third -party factory contains the cost of returning to the factory during the planting process, and it is not allowed to charge patients. If the public medical institution processing and making dental crowns by themselves, the price formation mechanism of "productization" is adopted. Based on the cost of material costs and processing services, the medical institution is based on the appropriate cost recovery rate. The comparison relationship of the mesh crowns is maintained in a reasonable range, and specific operations such as refinement, scanning design, printing and cutting, sintering upper glaze, and color modification of the crowns are made as cost elements. The operation steps are charged as additional patients for medical service prices.

(3) Standardize the integration of oral planting price projects. In accordance with the basic principles of "output orientation", integrate medical service price projects involved in oral planting. Among them, the design, preparation and operation of the first phase implantation (implant implantation) and the second phase of the surgery (placing healing group) are merged into the implant implantation items; The jaw position recording and transfer, the base platform and the crown installation, commissioning and modification, etc., merge into the crown of the implant; , Set independent medical service price projects. For complex planting surgery such as whole tooth bow repair, craniotomy planting and other complex planting surgery, differences can be reflected in medical service price projects. In order to ensure the accuracy of dental repair, medical institutions use various inspection methods such as medical images and digital technology, artificial intelligence and other to build virtual 3D models, make lesion models or surgery boards, and set up corresponding medical service price projects according to the service output Essence Specific oral planting medical service price projects are issued separately by the National Medical Security Bureau. Provincial medical security departments shall issue documents and integrate the price projects in the region by the end of November 2022.

2. Strengthen the price control of medical services such as oral planting

(4) Do a good job of price control around the entire dental implants process. The medical security departments at all levels should focus on the price of a single conventional dental implants, and implement the overall regulation of the medical service price of "diagnosis, inspection, inspection+implant implant+crown" (see attachment for details). Class public medical institutions complete the entire process planting. The overall price of medical services is generally higher than 4,500 yuan per region. Targeted measures should be taken to import a new section of no more than 4,500 yuan per person. The target's policy of grading of local medical services has decreased accordingly. Encourage conditions for regions to further take measures such as negotiation consultation and cost supervision and review within the scope of regulatory targets, and further expand the effect of regulatory control to benefit the masses. The current medical service price is generally lower than 4,500 yuan per region, encouraging the maintenance of current low prices. Allowing economically developed areas such as economically developed and high -cost, according to the actual actual situation of the medical service price regulation, the proportion is not more than 20%; encourages medical institutions that are specific to specific conditions for oral cultivation. The overall regulation policy (see attachment for details). The provincial medical security departments combined with the overall regulation requirements of the medical service price, as well as the result of implanted collection and crown bidding, merged and disclosed the price control target of the entire process of dental implants in the region (including implants, crown, medical services) Take targeted implementation measures. (5) Strengthen policy guidance for the price of dental medical services in public medical institutions. The masses reflected the implant fees, crown crowns, and bone planting costs for implantation fees, crown crowns, and bone planting costs. Among them, the government's guidance price is significantly higher than the average price of private medical institutions in the region. It is necessary The front, significantly higher than the average medical institutions actively call back, and play the role of public welfare prices in public medical institutions on the market's reference and anchor. All -to -teeton bow repair, craniotomy -facial planting, complex bone implantation and other technologies with high difficulty and high risk levels are allowed to open the appropriate gap with conventional dental implants. The price of medical services with fixed dentures, picking dentures, and other dental repair methods remain relatively stable, and encourages medical institutions to give priority to providing patients with appropriate dental repair services for patients. Tooth extraction, Zhou Jiezhi, and tooth tonic are mainly technical and labor -based projects. The low historical prices can be appropriately increased. Public medical institution's oral planting projects implement government guidance management areas, and provincial medical security departments shall re -formulate and announce government guidance prices by the end of December 2022. For areas with independent pricing, the medical security department shall, in accordance with the price control target of the entire process of medical services, organize various medical institutions to release the price within one month of the implementation of new prices projects, prompt the price level and hospital level, professional status, functional functions Positioning is matched, and regularly releases the average level of independent pricing of public medical institutions in the region.

(6) Strengthen the supervision and guidance of oral planting in private medical institutions. The service prices of oral dental implants in private medical institutions implement market regulation. Price should follow the principles of fairness and legality, honesty, and quality. The area publicize in accordance with regulations and ensure the authenticity, timeliness and integrity of publicity information. Private medical institutions should strictly regulate their own price and behaviors, and should not be false or misleading "subsidies" and "low -cost" methods to induce fraud patients. For private medical institutions with high dental implants, high use of high -election products, active promises to accept the entire process of price, the economy advantages of oral planting expenses, and the highest evaluation ranking. The price and expenses are displayed on the official website, providing guidance for patients to seek medical treatment, and publicly exposed the high price and the use of "introduction fees" and "benefits" buying and selling customers.

3. Carefully organize and carry out centralized procurement of dental implants

(7) Establish inter -provincial purchase allocation alliance for dental implants. The provincial provinces should participate in the provincial provincial provincial procurement alliance led by the Sichuan Provincial Medical Security Bureau, and all provinces should participate. The concentrated band purchase of dental implants adheres to the basic principles of recruiting and recruitment, and the overall thinking of government organizations, alliance procurement, and platform operations. And covering screws, healing base platforms, metastasis, alternatives and other accessories), fully consider the characteristics of dental implantation consumables production, supply and clinical use, and guide enterprises to compete fairly. The specific procurement plan is formulated and organized by the Sichuan Provincial Medical Security Bureau in conjunction with the provincial medical security departments.

(8) Wide extensive mobilization of various medical institutions at all levels to participate. In principle, the proportion of the number of medical institutions (including private) to participate in the collection of the collection of this collection should reach more than 40%of the proportion of dental implants, or the total number of demand for submission of the region in this area accounts for the proportion of the actual use of the previous year More than 50%. Medical guarantee departments at all levels conduct extensive mobilization of medical institutions with dental implant service capabilities in the jurisdiction. All public medical institutions (including military medical institutions) all participate in centralized purchase of dental implants, and mobilize private medical institutions to take the initiative to participate. Large dental medical services services The provincial medical security departments where the chain group headquarters is located should take the initiative, focusing on coordinating its group chain (holding, branch) medical institutions to participate in the procurement and election results of centralized band procurement and implementation. It is necessary to clarify the policy requirements, the expectations of the masses, and the social responsibility of the medical institution, analyze the changes in the industry pattern and the medical behavior of patients, emphasize related supporting and regulatory measures, etc., guide medical institutions The masses are looking forward to development opportunities in the same frequency resonance. Public medical institutions doctors practice multi -point practice in private medical institutions and as the person in charge or business backbone. The public medical institution shall urge them to regulate the participation in the collection. Medical institutions are requested to confirm or not participate in this collection in writing. (9) Fill in the demand for implant procurement accurately. The provincial medical security departments organize the procurement needs of dental and private medical institutions to participate in public and private medical institutions participating in the provinces. The contents of the report include the actual procurement volume, procurement demand, and the number of dental chairs provided by dental implants in the first year of dental implants. In principle, the demand for reporting is not lower than the actual procurement volume of the previous year. At the same time, the factors for the growth of dental implant demand to ensure the accurate and reasonable reporting volume, promote the better realization of the amount of quantity, and facilitate the supply of middle school companies to ensure supply. The alliance region can properly disclose the report results of various medical institutions in the region, accept social supervision, and implement differentiated prices for public medical institutions that carry out dental implants but refuse to report or report less than 80%of the previous year. Policies, among them, the implant implantation and crown are placed in areas where government guidance management is implemented. The actual fees of the above -mentioned public medical institutions shall not exceed 80%of the government's guidance price; It must not exceed 80%of the average pricing of public medical institutions in the region.

4. Comprehensive treatment of oral planting charges

(10) Exploring the establishment of an abnormal warning system for the establishment of oral planting. All provincial medical security departments shall establish an abnormal warning system for oral planting in the units and cities, and report the price complaints more than the local average level, refuse or negatively participate in dental implants, fictional facts degradation and participation concentration. The purchased units and the selected products, and the medical institutions at all levels that do not cooperate with the regulation and control work to maintain the prices are included in the list of abnormal warning lists, and will be made public on the official website of the local medical security department every quarter. During the year, the medical institutions that entered the warning list many times were reported by the provincial medical security department. If the circumstances are bad, the National Medical Security Bureau is uniformly exposed. For medical institutions that are included in the list of abnormal price warnings, the supervision methods such as monitoring early warning, inquiry and interviews, reminders, warnings, cost investigation, information disclosure, and public exposure are used to promote the formation of good market order. If it belongs to public medical institutions, it will be carefully treated with the application matters such as adjusting medical service prices and new medical service price projects.

(11) Investigation and inspection of oral planting prices in the province. During the launching phase of the special governance (August 2022), in accordance with the principle of "horizontal to the edge, vertical to the end, and full coverage", comprehensively conducts oral planting charges and medical services price surveys and registration, and laid for standardized projects and prices and implementation of centralized band procurement procurement. Solid foundation. The illegal charging clues found during the investigation and registration period will be investigated and correct in time. During the implementation stage of the special governance (December 2022-March 2023), the medical security departments at all levels focus on monitoring work, and pay close attention to the implementation of the prices of oral planting medical services at all levels and various medical institutions at all levels. The situation, as well as key indicators such as dental implants, dental implant surgery prices, and average costs of patients to ensure that various governance measures are implemented, and provincial medical security departments shall report to the National Medical Security Agency by provincial units. The special governance "look back" stage (deployed by the province's appropriate time period in the second half of 2023), and medical security departments at all levels are in conjunction with relevant departments, ranking among the top prices in the region, a lot of complaints and reports, refusal to participate in dental implants sets In order to check or conceal the report, in order to check the key points, during the inspection process, it was found that medical institutions repeatedly charged, price fraud, false propaganda and other violations of laws and regulations, as well as providing unreasonable and irregular examination diagnosis and treatment behaviors in the process of oral planting medical services. Industry authorities and administrative law enforcement departments report. The National Medical Security Bureau will organize supervision and cross -examination in a timely manner.

(12) Effectively fulfill the responsibilities of medical price management in the industry.Medical security departments at all levels should attach great importance to the special treatment of medical services and consumables such as dentalization of oral planting, effectively fulfill the responsibilities of medical price management in the industry, organize special forces, conscientiously promote the implementation of various measures, and achieve public and private medical institutions.Full coverage to form a long -term governance effect.It is necessary to implement the people -centered governing concept, strengthen the coordination of the price control of dental implants medical services and the purchase of centralized consumables, effectively reduce the price of dental implants and consumables, reduce the burden of the people's costs, and guide medical institutions to pass throughThe healthy development of transparent prices, high -quality services, standardized management, and good reputation.Features notified.

National Medical Security Bureau

September 6, 2022

Source: National Medical Security Bureau website Guangzhou Daily · Xinhuacheng Editor: Wu Yizhen

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