Regulating institutions charges, three major points of regulation of planting medical services →

Author:Changjiang Daily Time:2022.09.09

Oral planting "sky -high price charges", low -cost planting advertisements to deceive patients, use "benefits" and "introduction fees" to buy customers ... In recent years, my country's dental implants have continuously showed high -speed growth in double digits, but some medical institutions have also occurred in some medical institutions. Irregular fees and other issues.

In order to regulate dental medical services and consumables, the State Medical Insurance Administration announced the "Notice on the Price Governance of Oral Planting Medical Services and Consumption Price Governance" on the 8th. It is determined to be 4,500 yuan, and the regions or medical institutions that meet specific conditions are allowed to relax appropriately, and the proportion of relaxation does not exceed 20%.

Views 1: How is the regulatory price of tooth medical services determined

The cost of oral planting is roughly divided into three parts: implant, crown and medical services, of which the cost of medical services accounts for relatively high costs.

Earlier, the State Medical Insurance Bureau carried out investigation and registration of oral planting charges and medical services. The initial results showed that the high cost of the medical service part was one of the important reasons for dental valuables. Taking a single conventional planting of public medical institutions in various provinces as an example, the average cost of the medical service section exceeds 6,000 yuan, and the cost of some localities exceeds 9,000 yuan.

Weng Linjia, director of the Medical Price Division of the National Medical Insurance Bureau, introduced that the cost of medical services is high. There are reasons such as unreasonable and excessive decomposition of project settings, as well as reasons such as excessive pricing and chaos.

The National Medical Insurance Bureau considers the comments in the early stage, and most of the opinions believe that it should guide the return of the whole process to the reasonable range of the full process of the time to guide the time. Some opinions should consider the value, technical level, risk, and resource scarcity of technical labor services.

After comprehensive patients and medical institutions, after many opinions, the target of a single conventional medical service price control target for a single -level public hospital was determined to be 4,500 yuan, including outpatient consultation, biochemical inspection and video examination, implant implantation, crown crown, etc. Cost, but does not contain the cost of implants and crown.

The main purpose of the special treatment of oral planting price is to "control" the high prices of some hospitals in some areas. The current medical service price is already within the regulation of the regulation target, and it is still implemented at the current price.

For regions or medical institutions that meet specific conditions, the notification clearly allows appropriately relaxing the regulatory goals. For areas such as developed economies and high -cost areas, high -cost regions will relax the price control target of medical services in the local area, and the proportion is not more than 20%.

"The specific charges of public medical institutions are subject to the price policy of the local medical security department. If additional services such as bone planting, soft tissue transplantation, and periodontal treatment are required, the actual charging may break through." Weng Linjia said.

Views 2: Price of pricing of implants and crowns through collective mining and bidding nets

In addition to regulating the expenses of oral planting medical services, the State Medical Insurance Administration will also carry out measures such as dental implant consumables and crown bidding networks to further promote the management of oral planting.

The notice is clear that the alliance will be carried out by the led by Sichuan Province and all the provinces participating in the purchase of dental implants, which requires all public medical institutions that provide oral planting services to participate, and mobilize private medical institutions to actively participate to achieve quantitative price exchange.

At present, the price range of high -end brand implants in public medical institutions is 4,000 yuan to 6,000 yuan per set, and other implants are 2,000 yuan to 3500 yuan per set. Essence

Due to the high personal requirements of dental crowns, the prices are mainly explored at this stage. Try the first trial of Sichuan Province to form a reference of the crown prices. According to clinical needs, public medical institutions choose to sell crown crowns at the "zero -difference rate" at the "zero rate" of the hanging network. Among them, the crown produced by a third -party factory contains the cost of returning to the factory during the planting process and shall not charge patients.

It is reported that most of the crowns purchased from third -party factories from third -party factories are more than 1,000 yuan. The price of homemade crown is higher. After bidding, it will decline to a certain extent.

In addition, it will explore the establishment of an abnormal warning system for the establishment of the oral planting, and the price complaints are reported more, the pricing is significantly higher than the local average, refusing or negatively participating in dental implants, fictional facts degraded the participating units and selected products, not in the elected product, no In conjunction with the control work to maintain virtual high prices, various medical institutions at all levels are included in the list of abnormal warnings.

Highlight 3: How to ensure oral planting services with quality and price matching

After the service price decreases, how to ensure high -quality oral planting medical services?

According to experts, the quality of oral planting services involves many factors, which is not only related to the quality of the implants and crowns and the technical level of doctors, but also related to the patient's original oral conditions and tooth habits after planting.

The special treatment of oral planting prices has taken measures in many aspects such as the collection of implant consumables and medical services prices to ensure that the masses obtain high -quality, efficient and affordable tooth repair services.

In the concentrated volume procurement of implant consumables, the State Medical Insurance Administration will guide Sichuan Province to explore the procurement method that meets the characteristics of implants, respect clinical options and use habits, and adopt multiple selection methods to provide patients with implants with different levels of demand levels. Consumption to promote the quality of oral planting services to maintain stability.

At the same time, the price adjustment of oral planting medical services is linked to the quality of the medical service to guide medical institutions to improve medical quality.For medical institutions that have high permanent plant power, open service quality information, and commitment to undergo supervision and inspection, they can relax the regulatory goals.It is reported that the management measures for various prices such as implants, crown, and medical services will be implemented in various provinces from December 2022 to March 2023.

(Source: Xinhua News Agency reporter Peng Yunjia)

【Edit: Shang Pei】

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