With the improvement of living standards and the deepening of the aging of the population, the problems of nonstandard fees and heavy burden of fees in the field of oral implants have long existed, and have become a pain point for the people's livelihood. To this end, the National Health Insurance Bureau has recently issued the notice on the special treatment of dental implant medical service charges and consumable prices (Draft for comments) (hereinafter referred to as the draft for comments). The public can give feedback by email or written letter. The deadline is August 27, 2022. The draft for comments has 12 articles in four parts, focusing on standardizing the charging method of dental implants, integrating the corresponding medical service price items such as implant implantation and crown implantation; Do a good job in price control around the whole process of dental implant, reduce the high price of dental implant medical service in public medical institutions, and strengthen the supervision and guidance of dental implant price in private medical institutions; Organize and implement the centralized belt procurement of implants, widely mobilize medical institutions at all levels to participate in the centralized procurement and accurately report the quantity. We will standardize the charging methods of dental implant medical services and consumables, and promote the separation of technology and consumption of dental implant medical services in an orderly manner. Public medical institutions provide dental implant medical services, mainly adopting the charging method of "service items + special consumables" with separate pricing. That is, implant implant cost and implant consumable system price are priced separately; The crown placement fee and the crown product price shall be priced separately; The cost of bone grafting operation shall be priced separately from the price of bone powder. For the current situation that consumables are charged in the price of medical service items, when the "separation of technology and consumption" is implemented, the project price shall be reduced synchronously by deducting the average online purchase price of relevant consumables. Guide the formation of a reasonable price for dental implants and crowns. Dental implants and crowns shall be purchased by hanging nets. Public medical institutions shall independently select according to clinical needs and sell them at "zero margin" according to the actual purchase price. The Medical Security Bureau of Sichuan Province will bid for the all ceramic crowns that are the main clinical crowns in the province, and form a reasonable market price through competition. Other materials will be hung with reference to the price of all ceramic crowns. The National Medical Security Bureau has guided other provinces to implement price linkage and price limit, so as to promote the sunshine and transparency of crown prices. For the dental crowns manufactured by the medical institutions themselves, the medical institutions shall independently determine the price and hang the net according to the appropriate cost recovery rate based on the cost of materials and processing services, and keep the price comparison relationship with the competitive hanging net crowns within a reasonable range. Standardize and integrate dental implant price items. According to the basic principle of "output orientation", integrate the medical service price items involved in oral implants. Among them, primary implantation (implant implantation) and secondary surgery (placement of healing abutment) are combined into implant implantation; Crown placement services, including impression preparation, jaw position relationship recording and transfer, abutment and crown installation, debugging and modification, etc., and crown placement combined into implants; Independent medical service price items shall be set for bone graft surgery, soft tissue repair, implant repair and removal and other services provided by dental implants. For complex implant operations such as complete dental arch restoration and implant, maxillary sinus bone graft, the differences can be reflected in the medical service price items. In order to ensure the accuracy of missing teeth restoration, medical institutions use various inspection methods such as medical images, digital technology and artificial intelligence to build
Edit：qihang Responsible editor：xinglan
Source：People.cn
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