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On September 2, the National Medical Insurance Bureau issued the notice on the public solicitation of comments on the previous "Notice on Carrying out Special Governance of Oral Implant Medical Service Charges and Consumables Prices (Draft for Comment)" (hereinafter referred to as the "Notice").
On August 18, the National Medical Insurance Bureau solicited public opinions on the "Notice on Carrying out Special Governance of Oral Implant Medical Service Charges and Consumables Prices (Draft for Comment)", and from August 18 to August 27, 2022, the National Medical Insurance Bureau portal and WeChat public account solicited opinions and suggestions
.
.
In the latest "Circular", the content pointed out that during the solicitation of opinions, the public gave feedback and suggestions in various forms such as email, letter, telephone, fax and so on, a total of 232 articles
.
.
Judging from the results, the public as a whole generally supports and affirms the special governance work in the field of oral implantation, but 10% of the feedback expresses opposition
.
However, opposing views such as "high fees are reasonable", "pricing is in line with Europe and the United States", and "price reductions will affect the quality of medical care" have aroused great concern in
the market.
.
However, opposing views such as "high fees are reasonable", "pricing is in line with Europe and the United States", and "price reductions will affect the quality of medical care" have aroused great concern in
the market.
In fact, since the State Executive Committee decided to normalize and institutionalize the centralized procurement of drugs and high-value medical consumables in January this year, the coverage of high-value medical consumables collection has been gradually expanded, and the collection and collection of orthopedic consumables, drug balloons, and implants that are of concern to the masses have been carried out at the national and provincial levels, which has become an important task
to further reduce the medical burden of patients.
to further reduce the medical burden of patients.
The reason why the price reduction of high-value consumables is so drastic is that their buyers only have the Health Insurance Bureau, and not winning the bid means that the stock market will be replaced
.
The market buyer of oral implants can be consumers, commercial insurance and other parties, in the face of the new competitive situation that may be brought about by the price reduction of collection, where will the market choice go?
.
The market buyer of oral implants can be consumers, commercial insurance and other parties, in the face of the new competitive situation that may be brought about by the price reduction of collection, where will the market choice go?
01, 90% support price governance "hope to reduce the overall to 3,000 yuan"
The Notice on Carrying Out Special Governance of Oral Implant Medical Service Charges and Consumables Prices (Draft for Comment) consists of four parts and 12 articles, focusing on standardizing the charging methods of oral implants and integrating corresponding medical service price items such as implant implantation and tooth crown insertion; Focus on the whole process of dental implants to do a good job of price regulation, reduce the high price of oral implant medical services in public medical institutions, and strengthen the supervision and guidance of oral implant prices in private medical institutions; Organize the implementation of centralized procurement of implants, and widely mobilize all types of medical institutions at all levels to participate in the collection and accurate reporting
.
.
In this solicitation of comments, the views of supporters are clear
.
Most (60%) supporters reacted fiercely to the problems of "sky-high fees" in the field of oral implantation, publicizing false subsidies, deceiving patients with low-price advertising, and buying and selling customers with "benefit fees" and "introduction fees", and called for the implementation of special treatment plans for oral implants as soon as possible:
.
Most (60%) supporters reacted fiercely to the problems of "sky-high fees" in the field of oral implantation, publicizing false subsidies, deceiving patients with low-price advertising, and buying and selling customers with "benefit fees" and "introduction fees", and called for the implementation of special treatment plans for oral implants as soon as possible:
"Don't let all your pensions go into the pockets
of a dental hospital.
"
of a dental hospital.
"
"I hope to collect as soon as possible, and I want to wait for the price reduction before I go to implant my teeth
.
"
.
"
"There is a lot of chaos in the field of implants, and this treatment plan has captured the key points
.
"
.
"
"The phenomenon of expensive oral fees does exist, and I am looking forward to this reform
.
"
.
"
A further 30% of the feedback expressed support while offering constructive comments:
"The overall price of surgical operation and consumables cost of dental implants should be controlled within 10,000 yuan, and the composition should fully reflect the main position of
technical labor services such as implant implantation and crown insertion.
"
technical labor services such as implant implantation and crown insertion.
"
"The goal of price governance and regulation should not be one-size-fits-all, and should consider regional differences and other factors to allow floating to promote the sustainable development
of the industry.
"
of the industry.
"
"In terms of price reduction, I hope that the overall price reduction will be about
3,000 yuan.
"
3,000 yuan.
"
In addition, there are also people who put forward constructive opinions and suggestions
from the aspects of price transparency, quality assurance, medical insurance payment, and strengthening supervision.
from the aspects of price transparency, quality assurance, medical insurance payment, and strengthening supervision.
It is worth noting that about 10% of the feedback and suggestions collected this time expressed objections or reservations
.
.
Some argue that high hospital fees are justified:
"Dental implant surgery is difficult, we must fully consider the risks and efforts borne by medical staff, reflect the value of doctors' technical labor services, and the pricing benchmark should be in line
with Europe and the United States.
"
with Europe and the United States.
"
"The field of oral implantation should not be stigmatized, and everyone feels that the root cause of the high price is that the number of dentists is small, and the training of dentists should be strengthened, and the price reduction should be carried out when the time is ripe
.
"
.
"
Some are worried that price reductions will affect hospital enthusiasm, service quality, and even product quality:
"The lack of profitability of public medical institutions is an important reason to
withdraw from the oral implant market.
"
withdraw from the oral implant market.
"
"All along, the price of the hospital's self-made crown is higher than that of the third-party factory, if both prices require hanging nets, or do not do it, otherwise a high and a low can easily intensify the doctor-patient conflict
.
"
.
"
"The purchase price of dental implants is too low, which may not guarantee the quality of materials and medical treatment
.
"
.
"
"Private institutions are responsible for their own profits and losses, and the current price is also the result of full competition in the market, and the government can manage public medical institutions
well.
"
well.
"
The market view is that with the intensification of aging, the social demand for implants is larger, China's collection system has always comprehensively considered the healthy development of the pharmaceutical industry and the improvement of clinical quality, the accessibility of the people to seek medical treatment, the industrial chain and the service end of the dental implant collection attitude is different, but the collection and price reduction is the trend of the times, market players and individuals must comprehensively consider the market ecological changes to make a positive response
.
.
02.
Acceleration of oral market governance Where is the difficulty in reducing the price of implants?
Acceleration of oral market governance Where is the difficulty in reducing the price of implants?
"Dental implants are too expensive, a tooth is equivalent to a BMW car, a suite in the county!"
This is not false, in 2021, Li Xiaoli, a deputy to the National People's Congress and part-time vice chairman of the Feidong County Federation of Trade Unions, once said that the average treatment cost of one implant tooth in her county-level hospital ranged from
about 6,000 yuan to 20,000 yuan.
If the average person has 28 teeth and grows full teeth, the cost can buy a suite in the local county!
about 6,000 yuan to 20,000 yuan.
If the average person has 28 teeth and grows full teeth, the cost can buy a suite in the local county!
Why is dental implant expensive? This can be seen from its market conditions
.
Pacific Securities Research Report shows that implants, as core materials, cost between 3,500 yuan and 12,000 yuan, accounting for 50% of the overall cost; The total cost of surgery and anesthesia is 3,000 yuan to 5,000 yuan, accounting for 25%; Of the remaining costs, 10 per cent of the restoration material and the implant abutment each, and 5 per cent of
the crown.
.
Pacific Securities Research Report shows that implants, as core materials, cost between 3,500 yuan and 12,000 yuan, accounting for 50% of the overall cost; The total cost of surgery and anesthesia is 3,000 yuan to 5,000 yuan, accounting for 25%; Of the remaining costs, 10 per cent of the restoration material and the implant abutment each, and 5 per cent of
the crown.
In recent years, the call for price reduction of dental implant collection has gradually increased
.
.
Previously, the National Medical Insurance Bureau's "Notice on Carrying Out Oral Implant Charges and Medical Service Price Investigation and Registration Work" outflowed from the industry was expected by the market to "pave the way
for the implementation of centralized implant procurement".
for the implementation of centralized implant procurement".
With the official implementation of the price survey of dental implants in Hunan, Gansu, Shaanxi, Hunan, Anhui, Jiangxi and other provinces, the collection of dental implants has been deepened from pilot to deepening, and the price reduction has been "on the string"
.
.
Since the beginning of this year, the National Medical Insurance Bureau has repeatedly emphasized the importance
of dental implant collection.
On February 11, Chen Jinfu, deputy director of the National Medical Security Bureau, said that with regard to dental implant collection, the first half of this year strives to launch a local collection alliance reform
.
of dental implant collection.
On February 11, Chen Jinfu, deputy director of the National Medical Security Bureau, said that with regard to dental implant collection, the first half of this year strives to launch a local collection alliance reform
.
However, compared with other pharmaceutical products market situation, the domestic implant market has a special nature
.
Some people in the industry even called it "the most difficult collection in history"
.
.
Some people in the industry even called it "the most difficult collection in history"
.
Some people believe that the difficulty of carrying out special price management of implant dental implants is: First, implant consumables and oral implant medical services are often "medical consumption is not differentiated", and there is an inflated price, between various regions, between consumable varieties, between various surgical procedures, in terms of cost and price, one-size-fits-all price adjustment itself is to disrupt the market price order
.
.
On the other hand, about half of the amount used for dental implants comes from private hospitals
.
According to experts from the relevant research group of the National Medical Insurance Bureau, the amount of implant consumables used in private medical treatment exceeds 60%.
The market competition in the private medical field is relatively sufficient, and unlike the government guidance price implemented by public hospitals, private hospitals implement market-regulated prices
.
For a long time, as long as it meets the requirements of fair competition and fair trade of the market supervision department, as long as it meets the medical quality and safety requirements of the health authorities, the government does not intervene in the increase or decrease of medical service projects in private hospitals and the pricing level
.
.
According to experts from the relevant research group of the National Medical Insurance Bureau, the amount of implant consumables used in private medical treatment exceeds 60%.
The market competition in the private medical field is relatively sufficient, and unlike the government guidance price implemented by public hospitals, private hospitals implement market-regulated prices
.
For a long time, as long as it meets the requirements of fair competition and fair trade of the market supervision department, as long as it meets the medical quality and safety requirements of the health authorities, the government does not intervene in the increase or decrease of medical service projects in private hospitals and the pricing level
.
Although the dental implant collection plan has not yet been officially implemented, Ningbo, Zhejiang, Bengbu, Anhui and other places have carried out small-scale dental implant negotiation pilots
.
At the beginning of this year, Ningbo, Zhejiang Province, limited the price of implant consumables to 1,000 yuan for domestic production and 1,500 yuan for imports, and the cost of medical services for medical institutions (secondary and below) was set at 2,000 yuan, with a price reduction of 60%; On August 3, the price of the complete set of implant materials in Bengbu, Anhui Province, dropped by up to 89.
5%, and the minimum price limit charge for dental implant projects was not higher than 1800 yuan / piece, which was the lowest official price record
in the country.
.
At the beginning of this year, Ningbo, Zhejiang Province, limited the price of implant consumables to 1,000 yuan for domestic production and 1,500 yuan for imports, and the cost of medical services for medical institutions (secondary and below) was set at 2,000 yuan, with a price reduction of 60%; On August 3, the price of the complete set of implant materials in Bengbu, Anhui Province, dropped by up to 89.
5%, and the minimum price limit charge for dental implant projects was not higher than 1800 yuan / piece, which was the lowest official price record
in the country.
Now most of the implant dental market is dominated by imported brands, the market share of domestic enterprises is relatively small, and the collection of dental implants will not only help reduce prices, but also further promote domestic substitution; For enterprises, even if they are unwilling to reduce prices, the price will be forced to fall as the overall price of collection and procurement falls
.
.
Judging from the feedback collected by the National Medical Insurance Bureau, the public has reacted strongly to the sky-high price of implants! 90% of the opinions support the development of special governance in the field of oral implantation
.
Industry insiders pointed out that the fee should reflect the value of the doctor's technical labor service, but only by squeezing out the "moisture" of the intermediate link of circulation can the price of medical services be more transparent, the market more standardized, and the doctor's income more "sunny"
.
.
Industry insiders pointed out that the fee should reflect the value of the doctor's technical labor service, but only by squeezing out the "moisture" of the intermediate link of circulation can the price of medical services be more transparent, the market more standardized, and the doctor's income more "sunny"
.
On September 2, the National Medical Insurance Bureau issued the notice on the public solicitation of comments on the previous "Notice on Carrying out Special Governance of Oral Implant Medical Service Charges and Consumables Prices (Draft for Comment)" (hereinafter referred to as the "Notice").
On August 18, the National Medical Insurance Bureau solicited public opinions on the "Notice on Carrying out Special Governance of Oral Implant Medical Service Charges and Consumables Prices (Draft for Comment)", and from August 18 to August 27, 2022, the National Medical Insurance Bureau portal and WeChat public account solicited opinions and suggestions
.
.
In the latest "Circular", the content pointed out that during the solicitation of opinions, the public gave feedback and suggestions in various forms such as email, letter, telephone, fax and so on, a total of 232 articles
.
.
Judging from the results, the public as a whole generally supports and affirms the special governance work in the field of oral implantation, but 10% of the feedback expresses opposition
.
However, opposing views such as "high fees are reasonable", "pricing is in line with Europe and the United States", and "price reductions will affect the quality of medical care" have aroused great concern in
the market.
.
However, opposing views such as "high fees are reasonable", "pricing is in line with Europe and the United States", and "price reductions will affect the quality of medical care" have aroused great concern in
the market.
In fact, since the State Executive Committee decided to normalize and institutionalize the centralized procurement of drugs and high-value medical consumables in January this year, the coverage of high-value medical consumables collection has been gradually expanded, and the collection and collection of orthopedic consumables, drug balloons, and implants that are of concern to the masses have been carried out at the national and provincial levels, which has become an important task
to further reduce the medical burden of patients.
PharmaceuticalsPharmaceutical medicinesto further reduce the medical burden of patients.
The reason why the price reduction of high-value consumables is so drastic is that their buyers only have the Health Insurance Bureau, and not winning the bid means that the stock market will be replaced
.
The market buyer of oral implants can be consumers, commercial insurance and other parties, in the face of the new competitive situation that may be brought about by the price reduction of collection, where will the market choice go?
.
The market buyer of oral implants can be consumers, commercial insurance and other parties, in the face of the new competitive situation that may be brought about by the price reduction of collection, where will the market choice go?
01, 90% support price governance "hope to reduce the overall to 3,000 yuan"
01, 90% support price governance "hope to reduce the overall to 3,000 yuan" The Notice on Carrying Out Special Governance of Oral Implant Medical Service Charges and Consumables Prices (Draft for Comment) consists of four parts and 12 articles, focusing on standardizing the charging methods of oral implants and integrating corresponding medical service price items such as implant implantation and tooth crown insertion; Focus on the whole process of dental implants to do a good job of price regulation, reduce the high price of oral implant medical services in public medical institutions, and strengthen the supervision and guidance of oral implant prices in private medical institutions; Organize the implementation of centralized procurement of implants, and widely mobilize all types of medical institutions at all levels to participate in the collection and accurate reporting
.
.
In this solicitation of comments, the views of supporters are clear
.
Most (60%) supporters reacted fiercely to the problems of "sky-high fees" in the field of oral implantation, publicizing false subsidies, deceiving patients with low-price advertising, and buying and selling customers with "benefit fees" and "introduction fees", and called for the implementation of special treatment plans for oral implants as soon as possible:
.
Most (60%) supporters reacted fiercely to the problems of "sky-high fees" in the field of oral implantation, publicizing false subsidies, deceiving patients with low-price advertising, and buying and selling customers with "benefit fees" and "introduction fees", and called for the implementation of special treatment plans for oral implants as soon as possible:
"Don't let all your pensions go into the pockets
of a dental hospital.
"
Hospital Hospitalof a dental hospital.
"
"I hope to collect as soon as possible, and I want to wait for the price reduction before I go to implant my teeth
.
"
.
"
"There is a lot of chaos in the field of implants, and this treatment plan has captured the key points
.
"
.
"
"The phenomenon of expensive oral fees does exist, and I am looking forward to this reform
.
"
.
"
A further 30% of the feedback expressed support while offering constructive comments:
"The overall price of surgical operation and consumables cost of dental implants should be controlled within 10,000 yuan, and the composition should fully reflect the main position of
technical labor services such as implant implantation and crown insertion.
"
technical labor services such as implant implantation and crown insertion.
"
"The goal of price governance and regulation should not be one-size-fits-all, and should consider regional differences and other factors to allow floating to promote the sustainable development
of the industry.
"
of the industry.
"
"In terms of price reduction, I hope that the overall price reduction will be about
3,000 yuan.
"
3,000 yuan.
"
In addition, there are also people who put forward constructive opinions and suggestions
from the aspects of price transparency, quality assurance, medical insurance payment, and strengthening supervision.
from the aspects of price transparency, quality assurance, medical insurance payment, and strengthening supervision.
It is worth noting that about 10% of the feedback and suggestions collected this time expressed objections or reservations
.
.
Some argue that high hospital fees are justified:
"Dental implant surgery is difficult, we must fully consider the risks and efforts borne by medical staff, reflect the value of doctors' technical labor services, and the pricing benchmark should be in line
with Europe and the United States.
"
with Europe and the United States.
"
"The field of oral implantation should not be stigmatized, and everyone feels that the root cause of the high price is that the number of dentists is small, and the training of dentists should be strengthened, and the price reduction should be carried out when the time is ripe
.
"
.
"
Some are worried that price reductions will affect hospital enthusiasm, service quality, and even product quality:
"The lack of profitability of public medical institutions is an important reason to
withdraw from the oral implant market.
"
withdraw from the oral implant market.
"
"All along, the price of the hospital's self-made crown is higher than that of the third-party factory, if both prices require hanging nets, or do not do it, otherwise a high and a low can easily intensify the doctor-patient conflict
.
"
.
"
"The purchase price of dental implants is too low, which may not guarantee the quality of materials and medical treatment
.
"
.
"
"Private institutions are responsible for their own profits and losses, and the current price is also the result of full competition in the market, and the government can manage public medical institutions
well.
"
well.
"
The market view is that with the intensification of aging, the social demand for implants is larger, China's collection system has always comprehensively considered the healthy development of the pharmaceutical industry and the improvement of clinical quality, the accessibility of the people to seek medical treatment, the industrial chain and the service end of the dental implant collection attitude is different, but the collection and price reduction is the trend of the times, market players and individuals must comprehensively consider the market ecological changes to make a positive response
.
Healthy and healthy.
02.
Acceleration of oral market governance Where is the difficulty in reducing the price of implants?
02. Acceleration of oral market governance Where is the difficulty in reducing the price of implants?
Where is the difficulty in accelerating the price reduction of dental implants in the oral market governance?
"Dental implants are too expensive, a tooth is equivalent to a BMW car, a suite in the county!"
This is not false, in 2021, Li Xiaoli, a deputy to the National People's Congress and part-time vice chairman of the Feidong County Federation of Trade Unions, once said that the average treatment cost of one implant tooth in her county-level hospital ranged from
about 6,000 yuan to 20,000 yuan.
If the average person has 28 teeth and grows full teeth, the cost can buy a suite in the local county!
about 6,000 yuan to 20,000 yuan.
If the average person has 28 teeth and grows full teeth, the cost can buy a suite in the local county!
Why is dental implant expensive? This can be seen from its market conditions
.
Pacific Securities Research Report shows that implants, as core materials, cost between 3,500 yuan and 12,000 yuan, accounting for 50% of the overall cost; The total cost of surgery and anesthesia is 3,000 yuan to 5,000 yuan, accounting for 25%; Of the remaining costs, 10 per cent of the restoration material and the implant abutment each, and 5 per cent of
the crown.
.
Pacific Securities Research Report shows that implants, as core materials, cost between 3,500 yuan and 12,000 yuan, accounting for 50% of the overall cost; The total cost of surgery and anesthesia is 3,000 yuan to 5,000 yuan, accounting for 25%; Of the remaining costs, 10 per cent of the restoration material and the implant abutment each, and 5 per cent of
the crown.
In recent years, the call for price reduction of dental implant collection has gradually increased
.
.
Previously, the National Medical Insurance Bureau's "Notice on Carrying Out Oral Implant Charges and Medical Service Price Investigation and Registration Work" outflowed from the industry was expected by the market to "pave the way
for the implementation of centralized implant procurement".
for the implementation of centralized implant procurement".
With the official implementation of the price survey of dental implants in Hunan, Gansu, Shaanxi, Hunan, Anhui, Jiangxi and other provinces, the collection of dental implants has been deepened from pilot to deepening, and the price reduction has been "on the string"
.
.
Since the beginning of this year, the National Medical Insurance Bureau has repeatedly emphasized the importance
of dental implant collection.
On February 11, Chen Jinfu, deputy director of the National Medical Security Bureau, said that with regard to dental implant collection, the first half of this year strives to launch a local collection alliance reform
.
of dental implant collection.
On February 11, Chen Jinfu, deputy director of the National Medical Security Bureau, said that with regard to dental implant collection, the first half of this year strives to launch a local collection alliance reform
.
However, compared with other pharmaceutical products market situation, the domestic implant market has a special nature
.
Some people in the industry even called it "the most difficult collection in history"
.
.
Some people in the industry even called it "the most difficult collection in history"
.
Some people believe that the difficulty of carrying out special price management of implant dental implants is: First, implant consumables and oral implant medical services are often "medical consumption is not differentiated", and there is an inflated price, between various regions, between consumable varieties, between various surgical procedures, in terms of cost and price, one-size-fits-all price adjustment itself is to disrupt the market price order
.
.
On the other hand, about half of the amount used for dental implants comes from private hospitals
.
According to experts from the relevant research group of the National Medical Insurance Bureau, the amount of implant consumables used in private medical treatment exceeds 60%.
The market competition in the private medical field is relatively sufficient, and unlike the government guidance price implemented by public hospitals, private hospitals implement market-regulated prices
.
For a long time, as long as it meets the requirements of fair competition and fair trade of the market supervision department, as long as it meets the medical quality and safety requirements of the health authorities, the government does not intervene in the increase or decrease of medical service projects in private hospitals and the pricing level
.
.
According to experts from the relevant research group of the National Medical Insurance Bureau, the amount of implant consumables used in private medical treatment exceeds 60%.
The market competition in the private medical field is relatively sufficient, and unlike the government guidance price implemented by public hospitals, private hospitals implement market-regulated prices
.
For a long time, as long as it meets the requirements of fair competition and fair trade of the market supervision department, as long as it meets the medical quality and safety requirements of the health authorities, the government does not intervene in the increase or decrease of medical service projects in private hospitals and the pricing level
.
Although the dental implant collection plan has not yet been officially implemented, Ningbo, Zhejiang, Bengbu, Anhui and other places have carried out small-scale dental implant negotiation pilots
.
At the beginning of this year, Ningbo, Zhejiang Province, limited the price of implant consumables to 1,000 yuan for domestic production and 1,500 yuan for imports, and the cost of medical services for medical institutions (secondary and below) was set at 2,000 yuan, with a price reduction of 60%; On August 3, the price of the complete set of implant materials in Bengbu, Anhui Province, dropped by up to 89.
5%, and the minimum price limit charge for dental implant projects was not higher than 1800 yuan / piece, which was the lowest official price record
in the country.
.
At the beginning of this year, Ningbo, Zhejiang Province, limited the price of implant consumables to 1,000 yuan for domestic production and 1,500 yuan for imports, and the cost of medical services for medical institutions (secondary and below) was set at 2,000 yuan, with a price reduction of 60%; On August 3, the price of the complete set of implant materials in Bengbu, Anhui Province, dropped by up to 89.
5%, and the minimum price limit charge for dental implant projects was not higher than 1800 yuan / piece, which was the lowest official price record
in the country.
Now most of the implant dental market is dominated by imported brands, the market share of domestic enterprises is relatively small, and the collection of dental implants will not only help reduce prices, but also further promote domestic substitution; For enterprises, even if they are unwilling to reduce prices, the price will be forced to fall as the overall price of collection and procurement falls
.
Enterprise enterprise.
Judging from the feedback collected by the National Medical Insurance Bureau, the public has reacted strongly to the sky-high price of implants! 90% of the opinions support the development of special governance in the field of oral implantation
.
Industry insiders pointed out that the fee should reflect the value of the doctor's technical labor service, but only by squeezing out the "moisture" of the intermediate link of circulation can the price of medical services be more transparent, the market more standardized, and the doctor's income more "sunny"
.
.
Industry insiders pointed out that the fee should reflect the value of the doctor's technical labor service, but only by squeezing out the "moisture" of the intermediate link of circulation can the price of medical services be more transparent, the market more standardized, and the doctor's income more "sunny"
.
