High dental implants?The country shot!

Oral planting fields have long -term existence of irregular fees and heavy cost burdens. With the improvement of living standards and deepening population aging, it has become a pain point for people's livelihood. To this end, the State Medical Insurance Bureau issued a recent "Notice on the Special Governance of Medical Service Charges and Consumption Price (Consultation Draft)" (hereinafter referred to as the "Draft for Opinions"), which can be proposed Feedback, the deadline is August 27, 2022.

There are 12 parts of the "Draft for Soliciting Opinions", which focuses on regulating the method of oral planting and charging, integrating the corresponding medical service price items such as implant implantation and crowning; Institutional oral planting medical services have a high price, strengthen the supervision and guidance of oral planting prices for private medical institutions; organize and implement implant centralized band procurement, and widely launch various medical institutions at all levels to participate in collecting collection and accurate reports.

01

Standard the method of oral planting medical services and consumables charges

Orderly push into oral planting medical services "skill separation". 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 price of crown products;

When the current consumable merger is charged in the price of medical service 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.

Guide the dental crown to form a reasonable price. Dental -implanted crowns are carried out to purchase networks. Public medical institutions choose independently according to clinical needs and sell them according to the actual procurement price.

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 first phase of implantation (implant implantation) and the second phase of surgery (placed healing base platform) are merged into implant implantation; crown access service, including printing system, jaw position recording and transfer, and transfer, transfer, transfer, and transfer, and transfer, transfer, and transfer of mandibular position, transfer, transfer, and transfer, and transfer of mandibular position, transfer, transfer, and transfer, The base platform and crown installation, debugging and modification, etc., merge into the crown of the implant; the bone planting surgery, soft tissue repair, the repair and demolition of the implantation of dental implant facilities, and set up independent medical service price projects Essence

For complex planting surgery such as whole tooth bow repair and maxillary sinus bone, 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 The specific guidelines for dental repair such as dental repair such as oral planting are issued separately by the National Medical Security Bureau.

02

Strengthen the price control of medical services such as oral planting

Focus on the entire process of dental implants to do a good job of price control. The medical security departments of various places should focus on a single conventional planting, clarify the regulation and control goals of the entire process, guide the centralized band procurement, standardize medical service price projects, and strengthen the regulation of the price control of oral planting medical services.

Control the proportion of implanted implant surgery and crown in the whole process price at about 60%, and the proportion of inspection design prices controls at about 10%, highlighting the technical labor value of the entire implant service.

Strengthen policy guidance for medical service prices for public medical institutions. Oral planting projects such as implant implantation fees, crowns, and bone planting costs implement government guidance price management areas. While regulating price projects, the medical security department re -formally formulates government guidance.

Persist in rising and falling, rationalizing the relationship between related medical services. 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, and it is necessary Medical institutions with significantly higher levels of medical institutions are proactively adjusted.

Strengthen the supervision and guidance of oral planting in private medical institutions. The service prices such as oral dental implants of private medical institutions shall be regulated by the service prices of dental implants. The pricing shall follow the principles of fairness and legality, honesty, and quality and price. Essence Private medical institutions should strictly regulate their own price behavior, and they must not deceive fraud patients with false subsidies or low -cost publicity.

For private medical institutions with high dental implants, high use of high -quality product usage, high economic advantages of oral planting expenses, and high -quality economy advantages, and the top evaluation rankings will display the price and expenses on the official website by the medical security bureaus. Provide patients with medical guidelines.

03

Carefully organize the centralized purchase of dental implants consumables

Establish inter -provincial procurement 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 specific procurement plan is formulated and organized by the Sichuan Provincial Medical Security Bureau in conjunction with the provincial medical security departments. The centralized procurement is based on a complete set of implant systems, including implants, repair base platforms, and accessories covering screws, healing base platforms, metastasis rods, alternatives.

Whenever 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%. 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 need to reply in writing or not to participate in this collection.

Fill in the demand for implants accurately. The provinces organize the province's public and private medical institutions to fill in the procurement needs of dental implants. The contents of the report include the actual procurement and procurement demand for dental implant consumables in the unit. In principle, the demand for reporting shall not be lower than the actual procurement volume of the previous year. At the same time, the factors for the growth of dental implant demand should be considered to ensure the accurate and reasonable reporting volume, and to promote the better realization of the amount of price exchange, and to facilitate the supply of the selected enterprises to ensure the supply.

Differentiated price policies for public medical institutions that carry out dental implant services but refuse to report or report less than 80%of the previous year. In the region, the actual charges of the above -mentioned public medical institutions shall not exceed 80%of the government's guidance price; areas that implement independent pricing management, the actual charges of the above -mentioned public medical institutions shall not exceed 80%of the average level of autonomous pricing in public medical institutions in the region.

04

Comprehensive treatment of oral planting charges

Explore the establishment of an abnormal warning system for the establishment of oral planting. The medical security departments of various places should establish the price abnormal warning system for oral planting in the units and cities, and report the price complaints more, the pricing is significantly higher than that of the local average, refuse or negatively participate in dental implants, various medical institutions and various medical institutions. The list of abnormal warnings of the price is publicly reported publicly on the official website of the local medical security bureau 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 were bad, the National Medical Security Bureau was uniformly exposed.

For medical institutions that are included in the list of abnormal price warnings, 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. Restrictions are taken in the aspects of adjusting medical services prices and accepting new medical service price projects.

Source: People's Daily Online

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