text/photo/video Yangcheng Evening News All-Media Reporter Zhang Hua Niu Zhijie
Intern Shu'anqi
What difficulties are encountered in the promotion of centralized procurement of dental implants? At the end of 2021, Sichuan led the establishment of a dental implant procurement alliance, and by August 2022, it has expanded to 30 provinces to join the alliance. It was originally planned to launch a local centralized procurement alliance reform in the first half of this year, but it has not been implemented. Until August 18, the National Health Insurance Administration issued the "Notice on Carrying out Special Governance on the Charge of Oral Implant Medical Services and Consumables Prices (Draft for Comments)", with the purpose of reducing the excessively high dental implant costs so that ordinary people who need dental implants have more opportunities to enjoy "affordable medical care". This measure is seen as promoting the centralized procurement of dental implants to clear obstacles.
However, with high degree of privatization of dental implants, low medical insurance payment ratio, and few domestic product choices, centralized procurement is naturally difficult. Regarding this dental implant procurement, what attitudes do private oral enterprises have and what expectations do they have for the dental procurement? The reporter interviewed dental implant experts in depth to understand the progress of dental implant procurement.
medical service fee is reduced. Public hospitals have no more than 4,500 yuan for
dental implants are different from innovative drugs. They are not included in medical insurance, and this tooth is equivalent to a human organ. After being implanted in the human body, it serves for 10 or 20 years. These characteristics are destined that there are more aspects to consider when incorporating dental implants into centralized procurement, and how to price is the first problem faced.
According to the reporter, the cost of oral implants is roughly divided into three parts: implant, crown and medical services. How to reduce the cost of dental implants? On August 18, the National Medical Insurance Administration issued the "Notice on Carrying out Special Treatment on the Charge of Oral Implant Medical Services and Consumables Prices" (Draft for Comments)", which determined that the total price of a single conventional dental implant medical service part in a tertiary public hospital shall not exceed 4,500 yuan in principle.
The "Notice" also clearly states that the proportion of implant implant surgery and crown implantation in the entire process should be controlled at about 60%, and the proportion of inspection design price should be controlled at about 10%. In other words, among the total cost of dental implants in public hospitals, consumables account for about 30% and medical services account for about 70%. It is worth mentioning that the current policy also clearly states that private medical institutions still implement independent pricing. The medical service fee of
4,500 yuan is also acceptable in the eyes of dental implant experts. Lin Xuefeng, chairman of the Oral Digital Materials Technology Management Professional Committee of Guangdong Hospital Association and director of Amber Dental Dental , said in an interview with reporters, "Considering regional differences, the country is not a one-size-fits-all standard. The "Notice" also mentioned that there is a 20% elastic space. For example, experts who have worked for 20 years and young doctors who have just entered oral implants will have different medical service fees, which is the same as the prices of expert numbers and ordinary numbers we have implemented now."
It is reported that the National Health Insurance Administration requires local governments to first report the total number of private dental hospitals and clinics in each province and city, and requires dental medical institutions participating in centralized procurement to reach more than 40% of the total number of regions. "Amber Oral also received relevant notices from the Haizhu Branch of Guangzhou Medical Insurance Bureau. We are very active in participating in the centralized procurement," said Lin Xuefeng.
centralized procurement provides entry-level dental implant services to meet the needs of more people
centralized procurement and guarantee basics, and provides entry-level dental implant services. It is reported that entry-level dental implants are mainly domestic brands, and there are also Korean brands such as Wolan, DIO, SG, etc. that focus on cost-effective routes.
According to the reporter, the purchase price of domestic and Korean implant in dental hospital is 400-600 yuan and 500-800 yuan respectively, and the price of Korean implant terminal package can be reduced to less than 5,000 yuan. However, the price of high-end implants in Europe and the United States is usually between 8,000 yuan and above 10,000 yuan. Lin Xuefeng speculated that if dental implants are included in the centralized procurement, most mid-range brands will join, especially domestic brands, and some imported ones will join.
can be referenced. In the recent "Notice on the Pilot Work of Dental Implant Project" carried out by the Medical Insurance Bureau of Bengbu City, Anhui Province, nine well-known brands, including "Chuangying", "No. 1 Implant" and "SG", were successfully negotiated and were selected into the "Bengbu City Dental Implant Brand Catalog".After centralized bargaining negotiations, the average cost of dental implant materials (including crown and implant set) decreased by 84.17%, and the highest reduction was as high as 89.50%. From the price list included in the "Notice", we can see that the price of brand ZDI implants (including upper repair) is 950 yuan for porcelain and 1,000 yuan for all porcelain.
Lin Xuefeng introduced that the current purchase of dental implant consumables in private oral institutions accounts for more than 70%, that is, 1,000 implants, and about 700 are used in private oral cavity. In the past three years, due to the impact of the new crown epidemic, the business volume of the oral transplant industry has dropped significantly. Lin Xuefeng said, "According to statistics, the number of oral dental implants in Amber has decreased by nearly half compared to the past. Since most private oral institutions prefer imported brand implants, if centralized procurement is implemented, it is estimated that the growth of dental implant business volume of private oral institutions will be promoted, but the impact is estimated to not be too great."
dental implants will be popular in the future or require a process
Through centralized procurement, the overall price of dental implants will be reduced. The principle of medical service fee does not exceed 4,500 yuan. If the price of implants is reduced by about 80%, this is a happy thing for people who lack teeth to complete oral restoration.
However, we should see a fact that dental implants are not included in medical insurance and require the patient to pay for it at his own expense. Secondly, the proportion of oral implant doctors for people with tooth deficiency in the country is too small. According to the Fourth National Epidemiological Survey of Oral Health, the average number of missing teeth in different age groups is 2 aged 45-54 years old, 3.73 aged 55-64 years old, and 7.5 aged 65-74 years old.
According to the "China Health Statistical Yearbook 2020", there are 195,000 oral practitioners (excluding assistant doctors), of which the proportion of oral implant specialists is about 20%, that is, there are about 40,000 oral implant specialists in my country. What is even more surprising is that the domestic planting consumables industry is still in a weak, small and scattered development trend. Data released by industrial big data company Huoshi Creation shows that as of the end of 2021, there were 117 registration approval documents for implants and implant systems listed in my country, including 99 imported products and 18 domestic products, with the number of imported products accounting for more than 80%.
Therefore, increasing the training of oral implant specialists and improving the surface treatment process and product processing precision of domestic dental implants is also an important way to implement centralized procurement and give the people more opportunities to enjoy "affordable medical care". "It takes 1 hour to implant a tooth, but it takes a lot of time to communicate, treat and design plans in advance. For example, I can only do three surgeries a day." Lin Xuefeng said, "Even if the number of patients needing dental implants increases, I can't do more surgeries in a day. Therefore, it is expected that after the centralized procurement, the implant industry will not be immediately popular, and this will take a process."
At the same time, Lin Xuefeng said that through the centralized procurement of dental implants, the overall price of dental implants will be reduced, so that some people can enjoy dental implant services. At the same time, I also hope to continuously adopt new technologies, new means, and new materials in the field of dental implants to expand the width and depth of the entire industry. Guangdong Province has nearly 2,000 oral implant-related companies, ranking first in the country, which can make the entire industry flourish and ultimately drive the accelerated penetration rate of domestic brands. (For more news, please follow Yangchengpai pai.ycwb.com)
source | Yangcheng Evening News·Yangchengpai
Editor | Wang Moyi
