echemi logo
Product
  • Product
  • Supplier
  • Inquiry
    Home > Medical News > Latest Medical News > After dental implants, 15 provinces orthodontic brackets are collected!

    After dental implants, 15 provinces orthodontic brackets are collected!

    • Last Update: 2022-10-25
    • Source: Internet
    • Author: User
    Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com
    On October 19, the Shaanxi Provincial Pharmaceutical and Equipment Procurement Platform issued the "Inter-provincial Alliance (District, Corps) Orthodontic Bracket Centralized Procurement Announcement", deciding to carry out the centralized procurement of orthodontic brackets in 15 provinces (autonomous regions and production and construction corps) including Shaanxi, Shanxi, Inner Mongolia, Liaoning, Heilongjiang, Anhui, Henan, Guangxi, Hainan, Guizhou, Tibet, Gansu, Qinghai, Ningxia and Xinjiang, and the Shaanxi Provincial Public Resources Trading Center is responsible for the specific organization and implementation
    .
     
    Scope of purchased products: brackets, invisible braces without brackets, buccal tubes
    that have obtained the People's Republic of China medical device registration certificate.
    The specific national medical insurance medical consumables code table is no longer displayed due to space limitations, involving a total of 10,364.

     
    Enterprise scope: Medical device registrants (agents) who have obtained the legal qualifications of brackets and other products can participate
    in quality standards, production capacity, supply stability, corporate credit, etc.
    Overseas medical device registrants (recordators) shall designate domestic enterprise legal persons in China to assist them in performing corresponding legal obligations
    .
     
    Scope of medical institutions: Public medical institutions (including military hospitals) (hereinafter referred to as "medical institutions") that carry out orthodontics in the Union provinces (autonomous regions and corps) shall participate; Medical institutions designated by medical insurance designated social institutions voluntarily participated
    .
     
    Procurement cycle: The procurement cycle of brackets, invisible braces without brackets and buccal tubes is 2 years, calculated
    from the actual implementation date of the selected results.
     
    Procurement document interpretation meeting time: October 21, 2022 (Friday) 15:00-16:30 pm; Method: Online explanation, Tencent Meeting ID: 205 601 524 Meeting password: 678026
     
    Enterprise registration and product declaration time: October 20, 2022 to October 28, 2022 24:
    00.
     
    It is understood that orthodontic treatment is to continuously apply gentle external force to the teeth in a specific direction in cases of malocclusion to move the teeth to the optimal position
    .
    At present, orthodontic treatment mainly includes traditional orthodontic therapy (represented by metal braces) and invisible orthodontic treatment (invisible braces), and the bracket consumables collected by Shaanxi Alliance are mainly used for traditional orthodontic therapy
    .
     
    Public data shows that in 2021, the number of patients receiving orthodontic treatment in China accounted for 0.
    3% of the people with malocclusion, of which 13.
    2%
    received invisible orthodontics.
    In other words, the penetration rate of orthodontic treatment in China is very low, and nearly ninety percent of patients choose traditional therapy
    with bracket products.
    In terms of products, foreign orthodontic brands account for 670% of the domestic market share, and mostly occupy the mid-to-high-end market, and domestic brands are mostly concentrated in low-end products
    .
     
    It is reported that the cycle of orthodontics is 2-3 years, and the total cost ranges
    from 10,000 yuan to 80,000 yuan.
    The cost of metal bracket correction is relatively low, and new technologies such as invisible correction are even more expensive
    .
    According to the "2018 China Orthodontic Market Consumer Blue Book", the market prices of metal bracket correction, ceramic bracket correction, metal/ceramic self-locking bracket, invisible correction and lingual invisible correction are between 20,000 yuan, 22,000 yuan, 23,000 yuan to 33,000 yuan, 35,000 yuan to 45,000 yuan, and 55,000 to 80,000 yuan respectively
    .
     
    In terms of consumables, there are two kinds of fixed brackets and invisible appliances on the market, and the cost of consumables accounts for a relatively low proportion of the overall price, about 30%, and its cost is mainly concentrated in the doctor's treatment fee
    .
    This is similar to dental implants, the price of teeth and implants is not high, about a few hundred yuan, but the cost of medical services will vary greatly
    .
     
    Prior to this (September 8), the National Medical Insurance Bureau's "Notice on Carrying out Special Governance of Oral Implant Medical Service Charges and Consumables Prices" has made it clear that the whole process control target of medical service prices for single conventional implants in tertiary public hospitals is 4,500 yuan
    .
    Then, in the future, orthodontics is likely to follow the dental implant model and be specified at a service price
    .
     
    According to statistics from Huazhao Equipment Network, in October 2019, Nanjing, Taizhou and Huai'an some designated medical institutions formed a regional alliance to carry out quantitative procurement of orthodontic brackets, and estimated the total procurement volume based on 70% of the total
    procurement volume submitted from October 1, 2018 to September 30, 2019.
    At that time, the average reduction rate of orthodontic brackets was 33.
    59%, and the highest reduction was 64.
    78%, which was far lower than the consumables
    such as hemodialyzers and central venous catheters purchased by the alliance in the same period.
     
    The following are the highlights of the procurement documents:
     
    Product Grouping:
     
    The centralized procurement is specifically divided into ordinary metal brackets (two groups A and B), ordinary ceramic brackets (two groups A and B), self-locking metal brackets (two groups A and B), self-locking ceramic brackets (two groups A and B), bracketless appliances (two groups A and B), buccal tube (negotiation).

     
    According to the order of the procurement demand of medical institutions of the inter-provincial alliance from most to least, the enterprises covered by the top 70% (inclusive) of the cumulative procurement demand of each product category are the bidding units of group A, and the rest are the bidding units
    of group B.
    If the number of valid reporting enterprises entering the Group A bidding unit is less than 5, it will be supplemented in descending order according to the procurement demand of medical institutions of the inter-provincial alliance from most to least, until the number of valid declaration enterprises of Group A bidding unit reaches 5; If there are less than 5 declared enterprises in the same product category, all of them will enter Group
    A.
     
    Procurement demand: The procurement demand of each product is cumulatively calculated
    according to the purchase demand of each product submitted by each medical institution participating in this procurement.
    In principle, the procurement demand submitted by medical institutions shall not be less than 70%
    of the actual usage of the previous year.
    Buccal tube products are not included in the volume
    report.
     
    Product Declaration:
     
    (1) Ordinary brackets (metal, ceramic), self-locking brackets (metal, ceramic)
     
    Determine the benchmark price according to the national 27-digit medical insurance code (standard set is 20, complete tooth position), and the price of brackets in the set should be consistent; If the number of brackets contained in the national 27-digit medical insurance code cannot form a complete tooth position, it needs to be combined into a standard of 20 (complete tooth positions) for set declaration (the set needs to form a complete tooth position), and the price of the brackets in the set must be consistent, if the price is inconsistent, take the lowest value to determine the benchmark price
    of the set.
     
    Ceramic bracket category, such as the national 27-digit medical insurance code declared by the enterprise (standard set is 20, complete tooth position) contains both ceramic brackets and metal brackets, directly into the negotiation link, after successful negotiation, the product does not calculate the ranking, does not participate in the remaining amount allocation, and determines the agreed purchase amount
    according to 60% of the demand of medical institutions.
    If in the ceramic bracket category, all the selected products of the enterprise are the above situation, the enterprise does not occupy the selected quota
    .
     
    Other bracket products declared by the enterprise that cannot be assembled shall not participate in the quotation, and the medical institution will not report the quantity
    .
    If the bracket product of the corresponding specification model is selected, the product is regarded as the selected product, and the selected price
    is determined according to the corresponding quantity ratio.
     
    (2) No bracket appliance: declare the product according to the national 27-digit medical insurance code and determine the benchmark price
    .
     
    (3) Cheek tube: declare the product according to the national 27-digit medical insurance code, and determine the product benchmark price
    according to the single one.
     
    (4) Others: The national 27-digit medical insurance code declared by the enterprise contains both brackets and buccal tubes, and only the declared products do not participate in the quotation, and the medical institutions do not report the amount
    .
    If the bracket product and buccal tube product of the corresponding specification model are selected at the same time, the product is regarded as the selected product, and the selected price
    is determined according to the corresponding quantity ratio.
     
    (5) If the declaration is not made within the specified time or the declaration is wrong, it shall not be supplemented or modified after the declaration is completed, and all consequences arising therefrom shall be the responsibility of the
    reporting enterprise.
     
    (6) After the product declaration is completed, it shall not apply for cancellation, otherwise the enterprise will be disqualified from the declaration of
    all products purchased in this quantity.
     
    Price Requirements:
     
    The quotation is the actual supply price of the declared product after selection, including taxes, shipping fees and service charges
    .
     
    If the products declared by the enterprise have the national provincial sunshine procurement platform hanging network (winning bid) price (excluding the centralized purchase price), the lowest price shall be used as the benchmark price
    of the product.
     
    If the product declared by the enterprise does not have the national provincial sunshine procurement platform hanging network (winning bid) price, the enterprise may independently declare the price as the product benchmark price, but it shall not be higher than the lowest provincial platform sunshine hanging network (winning bid) price
    of similar products participating in this volume procurement.
     
    The principle of determining the number of selected enterprises
     
    The picture cheek tube is a bargaining product, and the number of companies to be selected is not set, and the result of expert negotiation shall prevail
    .
     
    Determination process of the selected enterprises and products: the first round of bidding, expert negotiation, and the determination of the selected enterprises and products
     
    (1) First round of bidding
     
    If an enterprise submits the price reduction of each group of products on the spot, only one enterprise in the same group is allowed to declare one price reduction, and the enterprise shall declare a reduction rate that is not lower than the minimum effective reduction, otherwise it will be regarded as an invalid quotation
    .
     
    Image
     
    (2) Expert bargaining
     
    1) According to the price reduction rate of each group of products, determine the declared price of the group of products (20 brackets), if the declared price is higher than the lowest winning price of other provincial (including alliance) and municipal centralized procurement in the country, all declared products of the reporting enterprise in the group are directly eliminated;
     
    2) Review experts comprehensively consider clinical needs and usage, product functions, product quality and other factors, and can propose to negotiate with the enterprise for products with unreasonable declared prices
    .
    For the final quotation provided by the enterprise, the review experts vote to confirm whether to recognize it, and the declared price of the product voted by the experts is the final declared price of the product; If the declared price of a product is not recognized by expert vote, the product is eliminated;
     
    3) For the same product category, the reduction rate of products in the negotiation group shall not be lower than the average reduction rate
    of the selected products in the bidding group in principle.
     
    (3) Determine the selected enterprises and products
     
    (1) Ordinary brackets, self-locking brackets selected enterprises and product determination principles
     
    1) The final representative product price
    is weighted by the final declared price of the products (20 brackets) declared by each group of enterprises and the demand of medical institutions in the alliance region.
    Products that are not in demand by medical institutions in the alliance region will be eliminated
    .
     
    Example: If an enterprise has n products corresponding to this group, namely product 1, product 2、.
    .
    .
    、 product n, the final declared price is C1, C2, and the corresponding demand of medical institutions in the alliance area is B1, B2、.
    .
    .
    、BN, respectively, the final representative price of the enterprise = (C1×B1+C2×B2+.
    .
    .
    +cn×bn)/(B1+B2+.
    .
    .
    +bn)
    .
     
    2) After the final representative product price of the enterprise is determined, the selected enterprises in this group shall be determined according to the rated number of winners in the same group, and the selected enterprises will be selected according to the ranking from lowest to highest, and all declared products within the scope of the selected enterprises will be selected
    .
    The final representative product price is the same, and the medical institution has a large demand
    .
     
    3) Determine the final winning price
    according to the number of brackets contained in all declared products of the enterprise.
     
    (2) The principle of selecting enterprises and products without bracket appliances
     
    1) The price reduction of representative products is determined by weighting the final reduction of
    the products declared by each group of enterprises and the demand of medical institutions in the alliance region.
    Products that are not in demand by medical institutions in the alliance region will be eliminated
    .
     
    Example: If an enterprise has n products corresponding to this group, namely product 1, product 2、.
    .
    .
    、 product n, the final declared price reduction is C1, C2, and the corresponding demand for medical institutions in the alliance region is B1, B2、.
    .
    .
    、BN, respectively, the final representative price reduction of the enterprise = (C1×B1+C2×B2+.
    .
    .
    +cn×bn)/(B1+B2+.
    .
    .
    +BN)
    .
     
    2) After the price reduction of the final representative products of the enterprise is determined, the selected enterprises in this group are determined according to the rated number of winners in the same group, and the selected enterprises are ranked from high to low, and all declared products within the scope of the selected enterprises are selected
    .
    The final price reduction of representative products is the same, and the demand of medical institutions is preferred
    .
     
    (3) Cheek tube selection enterprise and product determination principle: buccal tube based on the final quotation recognized by experts as the winning price
    of the product.
     
    (4) If the same model of product is selected in multiple sets, the price should be kept consistent
    .
     
    (5) Special circumstances and other unfinished matters on site shall be decided
    by the joint procurement office on site.
     
    Agreed purchase quantity allocation: determined in two steps
     
    The procurement requirements declared by medical institutions are the agreed purchase amounts, and the agreed purchase quantity
    of each medical institution is determined in two steps.
     
    Step 1: The selected products of the selected enterprises are allocated to the corresponding medical institutions according to 100% of the agreed procurement volume filled in by the first medical institution in the same group, 80% of the agreed purchase volume filled in by the second and third places are allocated to the corresponding medical institutions, and the selected products of other selected enterprises are allocated to the corresponding medical institutions according to 60% of the agreed procurement quantity filled in by the medical institutions, and if the product allocation is not a whole number, it is rounded up to single digits
    .
     
    Step 2: The agreed purchase quantity of unselected products and the unallocated purchase amount (i.
    e.
    remaining quantity) of the selected products filled in by medical institutions in the alliance provinces (autonomous regions and corps) shall be selected independently by the medical institutions among the top 40% of the selected enterprises in the same group (if there is a non-round number, rounded up to single digits), or the selected products
    reported by the medical institutions for procurement requirements can also be selected.
     
    If the number of selected enterprises in the same group is less than 3 (excluding 3), the medical institution shall independently select
    all the selected enterprises in the same group.
     
    If a medical institution does not select the unallocated purchase quantity (i.
    e.
    the remaining quantity) as required, it will be automatically assigned to the first selected enterprise
    in the same group.
     
    The alliance provinces (autonomous regions and corps) shall be responsible for assigning specific medical institutions to their respective provinces and regions in accordance with the determined procurement volume, and the medical institutions shall sign procurement contracts
    with the selected enterprises.
     
    Management of non-selected products: online procurement according to relevant local policies
     
    Within the scope of this procurement, the products that have not been declared by the enterprise and the declared but not selected products are regarded as non-selected products
    .
    Non-selected products shall be purchased on the network in accordance with the relevant policies of each alliance region, and the relevant price management policies
    of each alliance region shall be implemented.
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

    Contact Us

    The source of this page with content of products and services is from Internet, which doesn't represent ECHEMI's opinion. If you have any queries, please write to service@echemi.com. It will be replied within 5 days.

    Moreover, if you find any instances of plagiarism from the page, please send email to service@echemi.com with relevant evidence.