Notice of the State Medical Security Bureau on the Special Management of Charges for Oral Implant Medical Services and Prices of Consumables
Provinces, autonomous regions, municipalities directly under the central government and the Xinjiang Production and Construction Corps Medical Security Bureau:
To implement the decision-making and deployment of the CPC Central Committee and the State Council, the State Council has guaranteed that the people can obtain high-quality, efficient, and affordable services for the restoration of missing teeth to satisfy their aspirations to a better life, and has promoted the healthy and orderly development of the oral implant industry. Good life aspirations, to promote the healthy and orderly development of the oral implant industry, in accordance with the requirements of the nine ministries and commissions jointly issued the "2022 correction of unethical practices in the field of medicine purchase and sale and medical services", to carry out a comprehensive coverage of the public and private medical institutions of the oral implant price of the special governance work. Now the relevant work requirements are notified as follows:
A, standardize the oral implant medical services and consumables charging methods
(a) orderly promotion of oral implant medical services "technology and consumption separation". Public medical institutions to provide oral implant medical services, mainly to take "services + special consumables" separate pricing charging method. That is, the implant implant fee and implant consumable system price separate pricing; crown placement
into the fee and crown product price separate pricing; bone grafting surgical fee and bone powder, periosteum price separate pricing. For the current consumables combined in the medical service price items charged, the implementation of "technology and consumption of separate", should be in accordance with the deduction of the average price of the relevant consumables purchased online, synchronized with the downward adjustment of the project price.
(ii) Improve the price formation mechanism of dental implant crowns. Sichuan Medical Protection Bureau in the province on the clinical mainstream of all-ceramic crowns organization bidding, according to the competition formed by the sunshine and transparent price listing, other materials with reference to the price of all-ceramic crowns listing. The National Health Protection Bureau guided other provinces to implement price linkage. Public medical institutions choose independently according to clinical needs, and sell at zero-differential rates according to the listed price. The price of crowns produced by third-party factories
includes the cost of returning to the factory for modification during the implantation process, and no additional charges shall be levied on patients. Public medical institutions to process and produce their own dental implant crowns, to adopt a "productized" price formation mechanism, based on the cost of materials, processing services, etc., by the medical institutions in accordance with the appropriate cost recovery rate independently
determine the price and listing, and bidding to list the crowns of the price relationship between the crowns to remain in a reasonable range, the crowns of the production of The specific operations such as mold turning and refining, scanning and designing, printing and cutting, sintering and glazing, color modification, etc. are included in the price of dental implant crowns as cost elements, and the specific operation steps are no longer additionally charged to the patients as a medical service price item.
(3) standardized integration of oral implant price items. In accordance with the basic principle of "output-oriented", the integration of oral implants involved in medical services price items. Among them, the design, preparation and operation of the first-phase implantation surgery (implant implantation) and the second-phase surgery (placement of healing abutment) are merged into the implant implantation project; the crown placement service, including impression taking, jaw relationship recording and transfer, abutment and crown installation, debugging modification, etc.
Combined into the implant crown placement project; the dental implant supporting the implementation of bone grafting surgery, soft tissue restoration, Repair and removal of implants and other services, set up an independent medical service price items. For complex implant surgeries such as full arch restoration implant and craniomaxillofacial implant, the difference can be reflected in the price items of medical services. Medical institutions in order to ensure the accuracy of missing teeth repair, the use of medical imaging and other types of inspection means and digital technology, artificial intelligence, etc.
Construction of virtual 3D models, production of lesion models or surgical guide, according to the output of the service to set up the corresponding medical service price items. Specific oral implant medical service price item establishment guide by the State Medical Security Bureau separately issued. Provincial medical security departments should issue documents by the end of November 2022 to standardize the integration of price items in their regions.
Two, strengthen the oral implantation and other medical services price regulation
(4) around the whole process of dental implantation to do a good job of price regulation. Medical security departments at all levels to focus on the price of medical services for a single conventional dental implants, in accordance with the "diagnosis and examination + implant implant + crown placement" medical service prices to implement the overall regulation (see Annex), the current three-level public medical institutions to complete the whole process of implantation, the price of medical services generally higher than 4,500 yuan per piece of the overall The region should take targeted measures to guide
into the overall not more than 4,500 yuan per new interval, the public medical institutions below the third level of the regulation target with reference to the local medical services pricing policy of graded accordingly decreasing. Encourage conditional areas within the scope of the regulation target to further take negotiation and consultation, cost monitoring and other measures to reduce prices, and further expand the effect of regulation to benefit the masses. The current price of medical services as a whole has been generally lower than 4500 yuan each in the region, to encourage the maintenance of the current low price. Allow economically developed, manpower and other high-cost areas according to the local reality to relax the price of medical services regulation target, relaxation ratio of no more than 20%; encourage local for oral implantation success rate of high specific circumstances of the medical institutions, to explore the overall price of oral implantation of medical services to relax the overall regulation of the price of the policy (see Annex). Provincial medical security departments combined with the overall price control requirements of medical services, as well as the results of the implant collection, crown bidding, cooperation
And develop and publicize the region's dental implant whole process price control objectives (including implants, crowns, medical services), to take targeted implementation of the initiative.