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  • Can the Government bypass the Parliament over the GP co-payment?

    Posted 18/07/2014 by Amanda Biggs
    Senate chamber
    Recently, ABC news online reported that based on advice provided to the Greens from the Parliamentary Library, the Government could bypass the Senate to introduce elements of its GP co-payment proposal. The news story goes on to suggest that the Government could use its regulatory powers to implement at least one element of the proposal—a $5 reduction in the Medicare rebate paid to doctors—without the need for legislation. This Flagpost explains how this might occur. The Medicare re... Read more...

    TAGS: Medicare, federal budget, Parliament

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  • Are concessional patients over-using Medicare?

    Posted 13/06/2014 by Amanda Biggs
    The recent budget proposed measures which are intended to reduce demand on health services, particularly GP services, because of concern free or low-cost services are being over-used and a price signal is needed to keep Medicare sustainable (see Box). Reducing unnecessary GP visits could reduce costs to government and free up resources to treat higher need patients. Evidence suggests that concessional patients use GP services at a higher rate compared to non-concessional patients. A key question... Read more...

    TAGS: Medicare, bulk billing

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  • GP co-payment proposal: lessons from the past

    Posted 30/04/2014 by Amanda Biggs
    Recent comments by Health Minister Dutton and ongoing media speculation suggest the Government is considering a $6 patient co-payment on GP visits. Speculation is mainly focused on a proposal by former Coalition adviser, Terry Barnes, who describes his GP co-payment proposal as a revival of a 1991 Hawke Government measure. The key features of the Barnes proposal are: an indexation freeze on Medicare Benefit Schedule (MBS) fees for GP consultations until 2018 a co-payment of $6 for... Read more...

    TAGS: Medicare, bulk billing

    Comments (1)
  • How much does Medicare cost?

    Posted 21/02/2014 by Amanda Biggs
    The Treasurer, Mr Hockey said on Channel Seven’s Sunrise program on 21 February 2014, that the cost of Medicare was going to soon rise from $65 billion a year to $75 billion a year. However, the official transcript later clarified this to include other federal health expenditure. Seeing Medicare in the context of these wider figures, it is evident the actual cost of Medicare is considerably lower. According to Budget Paper no. 1 (2013–14) spending on Medicare for the cur... Read more...

    TAGS: Medicare, health financing

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  • Evidence around GP co-payments and over servicing

    Posted 19/02/2014 by Amanda Biggs
    One argument forwarded in support of the recent proposal to impose a co-payment for GP visits is that it has the potential to reduce ‘over servicing’, and therefore overall health costs. Over servicing occurs where an unnecessary medical intervention is provided. Imposing a consumer co-payment on the cost of visiting a doctor will encourage patients to avoid unnecessary visits, thus reducing over servicing and saving the health system money, argue advocates of co-payments. But what i... Read more...

    TAGS: Medicare, health financing

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  • Medicare at 30

    Posted 30/01/2014 by Amanda Biggs
    Medicare, Australia's universal health insurance scheme marks its 30th anniversary on 1 February 2014. For 30 years Australians have had free public hospital treatment and subsidised medical services; free if the doctor bulk bills. Medicare is part-funded by a 1.5% levy on income tax (which meets around half its cost) and general taxation. In 2012–13, spending on Medicare totalled $18.5 billion. This makes Medicare the third most expensive government program after the Age Pension and family payments. Read more...

    TAGS: health financing, Medicare

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  • A short history of increases to the Medicare levy

    Posted 3/05/2013 by Amanda Biggs
    The Government is proposing to introduce legislation during budget week to raise the Medicare levy by 0.5% in order to help fund DisabilityCare, the name of the new National Disability Insurance Scheme. This recent Flagpost outlined some of the reasons for securing funding for the scheme. The Medicare levy has been increased a number of times, and there have also been occasions where an increase has been proposed in order to fund other proposals. The Medicare levy is used to help fund Australia'... Read more...

    TAGS: Medicare, National Disability Insurance Scheme

    Comments (1)
  • Health spending: patients bearing higher costs

    Posted 2/05/2013 by Amanda Biggs
    Recent reports have highlighted the growing cost of health services and the increasing financial burden on individuals. According to data from the Australian Institute of Health and Welfare (AIHW) Australia spent more than $130 billion on health in 2010–11, or around 9.3% of Gross Domestic Product (GDP). Around 70% of this was spending by Government—the Commonwealth and the states and territories combined, through programs such as Medicare, public hospital services and the Pharmaceutical Benefit... Read more...

    TAGS: health financing, health reform, Medicare

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  • Health Insurance in Australia: time for a new debate?

    Posted 20/09/2011 by Anne-marie Boxall
    
    Image: Department of Health, Victoria
     In July 2011 the Government re-introduced its Fairer Private Health Insurance Incentives legislation into the House of Representatives; for an overview of the history of this legislation, see here. The Bills have not yet been debated. The key changes proposed by this legislation are: a means-test on tax-funded rebates for private health insurance (PHI) for those on incomes above a specified threshold, and; a higher Medicare Levy Surcharge for people on high incomes who choose not to purchase P... Read more...

    TAGS: health financing, health reform, Medicare, private health insurance

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  • Medicare Locals - many questions yet be answered

    Posted 3/03/2011 by Rebecca de Boer
    The Government has released the guidelines for the establishment and initial operation of Medicare Locals (MLs) following the consultations around its discussion paper on the governance framework. Applications are invited for the operation of MLs to commence in either mid 2011 or January 2012. Approximately 15 MLs will be awarded in each round. The guidelines and prior ministerial statements would indicate that the initial groups of MLs are likely to be drawn from existing Divisions of General P... Read more...

    TAGS: health reform, Medicare Locals, primary care

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