Sky -priced dental implants myths are crushed

Dental clinics or large quit.

Text ｜ Chen Fang

Edit ｜ Popular pudding

Source ｜ Prism (ID: length_qqfinance)

Cover Source ｜ Vision China

On the afternoon of August 18th, the special governance of dental implant treatment fees and consumables in the "legend" finally landed.

The State Medical Insurance Bureau officially announced to the whole society to announce the upcoming dental implants charges in the form of public solicitation. The general principle is that the price of medical services and consumables is separated. If the consumables can collect bargaining, the price is uniformly cut.

Prior to this, how much money to plant a teeth is almost metaphysics: public hospitals will pull out a long string of surgical costs, drug fees, and checklist; private dental clinics are almost all prices. However, regardless of public or private, the total charging of teeth is very expensive. A teeth range from thousands to tens of thousands of yuan.

On January 10 this year, the executive meeting of the State Council clearly stated that this year's orthopedic consumables, drug ball pockets, and dental implants that are concerned about the masses will be carried out. Among them, dental implants are organized to organize and organize the provinces of domestic implant production. However, since the launch of the enterprise declaration in February, Sichuan has organized two rounds of registration, but has not even taken out the draft plan.

The industry understands that lighting the implantation consumables can not be cured at all.

On Weibo, the chairman of Tongmei Medical (600763.SH), a leading dental listed company on Weibo with netizens, emphasized in an interview with the media in May this year: "We do not rely on selling consumables to make money, but to win services. Ji Cai has no practical impact on Tongmei Medical. "In the words, the medical insurance bureau's collection can control the price of consumables, but cannot control the cost of treatment.

This time, the National Medical Insurance Bureau has made it clear: both parts must be managed!

Category control surgical fees, consumable fees

"Recently, our hospital has a discount, and the basis of each price of each price has been reduced by about 2,000 yuan." On August 16, a doctor of a large dental chain institution in Beijing took the initiative to promote the author's business.

He also heard that the National Medical Insurance Administration is organizing dental implants and medical services cost surveys, but he told the author that his clinic did not receive registered requirements.

In fact, from August 1st, a dental implants charging nationwide have quietly started in various places. According to the requirements, before September 15, the provinces should hand over the summary data to the State Medical Insurance Bureau.

The requirements of the National Medical Insurance Bureau are not only to fill out the procurement costs and medical services charging information of the products such as implants, crown crowns, but also the actual charging documents issued by the provinces by themselves to ensure the amount and actual charging of the reported in each hospital. Consistent.

The statistical table of the National Medical Insurance Bureau obtained by the author shows that the investigation requires the detailed charges of each dental implant, including inspection and design service costs, implant implant surgery costs, crown installation costs, planting system consumables, dental crowns Five production costs.

These five categories are basically the surgical items of conventional dental implants. At the same time, in the draft of the medical insurance bureau on August 18, some special surgical items were also mentioned, such as bone planting surgery and soft tissue repair, etc. These uncommon medical service items will also be charged alone charges. Essence

Lv Jianmin, the chairman of Tongce Medical, said that "service win" to maintain high prices is actually not existing.

Domestic medical service price standards are generally set according to the degree of economic development of the region. Jiangsu is a developed province in the eastern coast. On the medical service charging list of the Jiangsu Provincial Medical Insurance Bureau, "dental implant implantation" is clearly marked at a third -level hospital in Southern Jiangsu; Essence

In accordance with the latest promotion of the State Medical Insurance Bureau, implant implantation includes two -stage surgery, which is the most important planting and healing base platform for teeth. Those who have grown teeth should know that after these two parts are completed, there is only a simple link to install the crown.

In the early stage of implantation surgery, a series of examinations need to be performed, namely X -rays, determining surgical solutions, etc. This process is not high, generally only about 100 yuan. There may be conventional surgical packages, anesthetic, disinfectant, hemostatic gel, etc. during the planting process, and it is up to around 100 yuan.

Calculate the crown installation fee, and plant the "artificial" and medicines and equipment costs required for a teeth, which will not exceed 1,000 yuan. What is really expensive is the implant.

High -priced dental implants hidden rules

The private dental clinic will tell consumers to "pack" all the costs of planting a teeth, which actually blurred the boundaries of "craft money" and consumables.

The doctor at the Beijing Dental Clinic said: "We do not have the money to grow teeth so detailed, and they are all packaging. Domestic ones are generally not recommended. 12,000 yuan, now only 9800. "

In the survey statistics of the Medical Insurance Bureau, several types of consumables are also listed in different categories, requiring the average price of domestic, Korean, and European and American production.

China's dental implants began in Sichuan West China Hospital in 1990. As early as 1965, foreign bone bone titanium raw materials began to use titanium ingredients for dental implants. The 25 -year gap has caused the Chinese dental implant market to be monopolized by foreign brands for a long time.

Generally, in the dental clinic, the prices of Switzerland, the United States, and Germany are high, the prices of Korean -made implants are slightly lower, and domestic goods are basically difficult to find. The same is true of public hospitals. High -value consumables such as implants have not been purchased online, and suppliers directly sell the goods to the hospital, and even sell them through dentists. To plant teeth at public hospitals, in addition to collecting surgery and medication according to the standards, the implants are generally recommended by doctors: "better in the United States", "short service life of South Korea" ...

Recommend these imported products, which are not completely related to the "rebate" of the outside world. To dentists to engage in dental implants, generally require professional education and vocational training, and some dentists frankly say to the author: "What is in contact with imported products, operating skills and other domestic goods are somewhat different. It will recommend more familiar products to ensure success rate. "

If the price of imported implants is expensive, because there are preconceived advantages, is there any greasy price in the price of domestic varieties?

Guohai Securities' investigation conference has disclosed the purchase price of the procurement of plants in the dental hospital: domestic brands are 400 to 600 yuan, Korean brands are 500 to 800 yuan, and European and American brands are 1600 to 3,000 yuan.

The price system of dental implants is very similar to the price of drugs before collecting: foreign import drugs sold at a high price at the beginning, and after the patent protection period, it is still unwilling to reduce the price sharply; after the domestic enterprise generic drugs are made, although the actual cost is not high, the actual cost is not high. , But the price will also be fixed at the price of the original research. After all, no one wants to take the initiative to give up interests.

Ji Cai completely broke these "careful thinking" of domestic pharmaceutical companies, and drugs have since entered the era of micro -profit. This is the same.

On the Internet, there are also tooth doctors who are worried that after the planting collection, foreign brands will be the same as importing original medicines. They are unwilling to reduce prices and automatically abandon the market for the market. At that time It may affect the surgical effect.

Dental clinic or a large number of exit

Doctors are worried about the effect of surgery, and the operators of the dental clinic may be worried about their livelihood.

Dental is the most suitable for independent practice in all the hospital departments. Even before the reform and opening up, individual dentists across the country are not a minority.

The National Health Statistical Yearbook shows that in 2020, there are more than 66,000 private dental hospitals and clinics, and dental medical services provided account for about 69%.

A major feature of private dental hospitals or clinics is that the chain rate is particularly low, only about 4.8%, and most of the dental clinics are "individual households". Dental dental depends on the personal ability of doctors, and dentists' independent practice will be much easier than other specialties.

The biggest kill of dental implants in the State Medical Insurance Bureau is to "fully mobilize private medical institutions to participate."

The Medical Insurance Bureau requires all regions to count the total number of private dental hospitals and clinics in various provinces and cities, and requires that the participating dental medical institutions should reach more than 40%of the total region.

In many places, the total cost of dental dental clinics in private dental clinics will be cheaper than public hospitals. The special rectification plan of the Medical Insurance Bureau also mentioned that the medical service guidance price of public hospitals is significantly higher than the average price of local private hospitals, and the price is reduced.

Private dental hospitals and clinics provide most of the domestic dental medical services. The outlets are scattered, the services are time -to -time, and the price is generally lower than that of public hospitals.

This may reshape China's dental medical pattern.

In the composition of the price of dental implants, the proportion of implant surgery and coronary placement accounted for about 60%, and the inspection design fee accounted for about 10%. This was to "highlight the value of technical labor". Calculated, if the consumables such as implants and crown can be cut to about 1,000 yuan, the total price of planting a teeth is about 3300 yuan.

Compared with the current cost of five or six thousand in Beijing, the net income of dental clinics is actually cut off.

The National Medical Insurance Bureau's "Notice of Special Governance" solicited more than 3,800 words of comments, none of them mentioned "reimbursement" and "medical insurance payment" and other claims.

Dental implants have been regarded as beauty projects for a long time, and medical insurance has not been reimbursed at all. The biggest difference between dental implants and collection of drugs is: only the collection is not collected, only bargaining, and medical insurance does not have any support.

In the past, the profit margin of the dental clinic was on the implant and sold a high -priced implant. The difference in the difference actually compensated the doctor's surgical costs, that is, the "technical labor value" called the Medical Insurance Bureau. It is precisely that there is a huge difference that dentists will be willing to leave the system, start their own businesses, enrich the dental diagnosis and treatment market, and to a certain extent.

Once the dentist's "craft money" is locked by the Medical Insurance Bureau, is it still attractive to open a sports diagnosis?

Let's "share

Sky -priced dental implants myths are crushed

- END -