Why are you expensive dental implants?Where is the price reduction space for dental implant medical service fees?

Author:Changjiang Daily Time:2022.09.10

Repair the lack of teeth, many people choose to plant teeth, that is, tooth implants, but the price is not cheap, starting with a tens of thousands of yuan. On the 8th, the State Medical Insurance Bureau officially announced a special governance notice, targeting high -implants. The notice is clear that after the adjustment, the price of a single dental implants in the tertiary public hospital does not exceed 4,500 yuan.

Where is the expensive planting, where is the expensive? The price of medical services was controlled to 4,500 yuan this time. Where is the price reduction space and what water is squeezed out? In the first half of this year, the reporter came to a company in Ningbo, Zhejiang to conduct investigations.

This is the only company in Ningbo to produce dental implant. It was approved for production and sales in 2014. The person in charge of the company said that the entrance threshold for dental implants requires a lot of early investment, including time and funds.

Xu Yibo, deputy general manager of Ningbo Medical Device Co., Ltd.: The proportion of the materials itself is not high in the entire cost. It mainly accounts for high proportion is the initial R & D investment and time investment. For example, if we want to get dental implants and get a formal sales permit, it may take about 5 years to invest tens of millions to get a certificate. This is just the threshold for admission. I still have to promote this certificate, and I have to be recognized by the market. They are accepted by doctors and accepted by the people. This may not know how many years.

In addition to the cost of dental implant, the cost of planting a teeth, more of the service costs of medical institutions. The person in charge of a dental hospital in Ningbo explained that the process of planting teeth was complicated and had high requirements for doctors' technical and experience.

Zeng Yanjia, Dean of Ningbo Lazhou Stomatology Hospital: There are many reasons for expensive, such as a planting, which is originally a good implant. The materials it uses are different. One is some supporting equipment of clinical operations, and the training of a doctor, which requires time and cost.

It is not easy to cultivate an excellent dentist. It is the scarcity of such experienced and superb technology, which also makes the price of teeth rise.

Ji Dong, a doctor at a dental hospital in Ningbo: Don't underestimate a dental implanted root and grow into our alveolar bone. It requires a lot of auxiliary and personal experience to complete it. In order to reach such a level.

The scarcity and profit of high -quality doctors have also led to the occurrence of industry chaos.

Zhang Yujiao, head of a well -known dental hospital in Zhejiang: I have encountered many doctors who have no qualifications to plant teeth. The previous year was an ordinary assistant in us. I became a growing doctor when I came back to the time of application.

Where is the price reduction space for dental implant medical service fees?

It can be seen that the cost of dental implants constitutes complex, large dental gaps, low localization of consumables, and disorderly competition leads to chaos in the industry. It is an important reason for dental implants. The "Notice" first clarified the target of medical service prices, 4,500 yuan. Where is the price reduction space for dental implants? What water is squeezed?

Jiang Changsong, the director of the assistant price recruitment room of the National Medical Security Research Institute of the Capital Medical University of the Capital Medical University: Some are high in price projects, and market pricing has further intensified the formation of high prices. Medical services in the field of oral planting were previously characterized as consumer medical care. They did not belong to the category of basic medical care. In fact, most of the prices were implemented. Whether it is a public hospital or a private hospital, it can be priced independently. For example, in some places, the implanted implant surgery has reached more than 4,000 yuan, plus medical services such as crown installation. Even if the implants are not considered as implants and other consumables, the total price has reached 9,000 yuan, or even more than 10,000 yuan. Compared with the more complexity and more manpower surgery in other fields, such as artificial joint replacement, the price comparison relationship has exceeded the price exceeding the price exceeding the price. Reasonable scope deviates from the public welfare of public medical institutions.

Jiang Changsong, director of the assistant price recruitment room of the National Medical Security Research Institute of the Capital Medical University: Some are also related to the setting of too much price projects, such as his decomposition of project charges, ingenious charges, and so on. He will decompose into a filming fee, checking blood, anesthesia, the first phase implant, the second phase of implantation fee, the printed fees, the implant fees, the design fee, the internal promotion fee of the maxillary sinus , Toby repair fee, base platform installation fee, etc., all overlay together, the total cost level goes up.

Jiang Changsong, director of the Assistant Price Office of the National Medical Security Research Institute of the Capital Medical University: also contains unreasonable elements in some prices, such as some medical institutions, especially some private medical institutions, in addition to normal advertisements, but also By giving benefits and intermediary fees, the introduction fee is to grab the source of customers. Each of the high market exceeds 1,000 yuan, and these unreasonable costs will eventually pass it to patients through unreasonable fees.

Jiang Changsong, director of the assistant price recruitment room of the National Medical Security Research Institute of the Capital Medical University of the Capital Medical University: These are considered factors for the high control price of medical services. In addition, there are still high prices and high prices such as implants and other consumables. It is necessary to control measures through targeted measures such as purchasing and price limits. With the concentration of quantitatives, we will have room for price changes, and there will be room for price reductions.

Division separation: "Service items+Special Consumption" separate pricing

"Separational Separation" is also the work that we must focus on this notice. What is "Separation of Consumption"? Popularly speaking, the prices of implant implantation fees are priced separately from the price of implant consumables; the crowns are priced separately from the price of crown products; the bone planting costs are priced separately from the price of bone meal. What are the benefits of this way? Especially in the openness and transparency of prices, how to make patients consume clearly? Jiang Changsong, Assistant Assistant and Director of the Price Recruitment Office of the National Medical Security Research Institute of Capital Medical University: First, it is conducive to adopting governance measures for their respective characteristics of services and consumables. The main body of the medical services is in the hospital and the doctor, the main body of the consumables in the production enterprise and the circulation enterprise. Moreover, in the case of separation, two things that consume two things such as medical technology services, implants, crown and other things will cause constraints, and it will unintentionally increase the difficulty of governance.

Jiang Changsong, Assistant Assistant and Director of the Price Recruitment Office of the National Medical Security Research Institute of Capital Medical University: Second, it is conducive to timely transmission to the results of subsequent dental implants procurement and crown bidding. If the technical service and dental consumables are mixed together to set a package price, all of which will be reduced by the subsequent mining and bidding.

Jiang Changsong, Assistant Assistant and Director of the Price Recruitment Office of the National Medical Security Research Institute of the Capital Medical University: Third, it is conducive to the price of prices and transparency. Monitoring, evaluation, assessment supervision.