Any health reform proposals should start by addressing public hospitals and chronic care. But successful change in these areas requires getting the state-Commonwealth funding and incentives right.
GP attendances make up just one-third of Medicare expenditure.
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Cutting Medicare rebates for GPs affects us all, whereas in-hospital private patient rebates, which only benefit the better-off, are ripe for the razor gang.
New modelling shows the Medicare rebate freeze will leave GPs A$8.43 worse off per consultation.
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With GPs facing greater economic pressure and the health minister considering legislative change to make it easier for GP to charge them, GP co-payments, like Lazarus, may rise again from the dead.
Very high GP attenders cost Medicare an average of A$3,202 in 2012-13, compared to an Australian average of A$690.
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As well as being responsible for a large share of total costs, people who visit the GP more often are more likely to live in the most disadvantaged areas, and to report being in poor health.
Medicare reform must focus on increasing value, not just cutting costs.
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The primary care reform debate of the last 15 months got off on the wrong foot. It was framed in terms of cutting government spending, with an overlay that consumers needed to bear the brunt of system…
The AMA described the proposed reimbursement changes for level B consultations as “an assault on general practice”.
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The Australian Medical Association (AMA) has emerged from the recent brouhaha over the Abbott government’s proposed Medicare reforms as both a winner in the protection of doctors’ incomes and an apparent…
A blueprint for Medicare reform must include cost control, but also support quality and equity.
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The Abbott government is struggling with its Medicare co-payment reform, scrapping the latest version for a period of consultation, starting this week. The government claims it wants to make Medicare sustainable…
Across 38 years in tobacco control, I have been asked countless times in media interviews if I ever smoked. It’s often an early question. I always unhesitatingly explain that I did: I stopped in my mid…
The Coalition government’s proposed changes to Medicare have never managed to garner public favour.
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The government has backed down from its plan to cut Medicare rebates to doctors, which was to start on Monday, January 19, after several days of public pressure. For those not au fait with the world of…
Most people overestimate the benefits and underestimate the harms of medical intervention.
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“It might do me some good and it won’t hurt to give it a go.” How often have you heard a phrase like this? Most people have naïve optimism about medical care. That’s the finding of a systematic review…
The big losers will be ordinary patients.
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In the May budget, the Commonwealth government proposed a A$7 co-payment for GP services and tests done outside a hospital. After seven months of fierce criticism, the government abandoned those plans…
If you don’t have a concession card and are usually bulk billed, you may face a A$5 co-payment, or more.
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The Abbott government has scrapped its controversial A$7 co-payment plan and replaced it with a A$5 cut to GP rebates for patients over 16 without a concession card, and other rebate changes. The revised…
If we want to ensure the health system remains sustainable, it makes sense to use its cheapest and most efficient arm: general practice.
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Last year taxpayers spent A$6.3 billion on GP services through Medicare, about 6% of the total government health expenditure. This was a 50% increase (A$2.1 billion) in today’s dollars over the past decade…
Several private health insurers are trailing schemes to prevent their members’ health deteriorating.
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Australia’s population is in the midst of considerable demographic change, with a proportional rise in older age groups. Medical successes can now save the lives of those who would have died from illnesses…
The AMA proposal would wipe out 97% of the government’s $3.5bn savings.
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Jane Hall, University of Technology Sydney and Kees Van Gool, University of Technology Sydney
Bulk billing without restrictions has been a feature of the Australian health system since the introduction of Medicare in 1984. It is particularly important in general practice, as it means any Australian…
Cut waste before cuttings access or quality.
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Health policy debate over the past few months has been held to a $7 ransom. It’s as if the Medicare co-payment has been deified as the solution to all the health system’s ills. Of course, the $7 co-payment…
Abandoning health reforms will undoubtedly lead to worse performance, including longer waiting times, across the health system.
AAP Image/Quentin Jones
Yesterday was a sorry day in the long history of health reform in Australia. The Council of Australian Governments (COAG) Reform Council issued its five year score-keeper’s report on health reform progress…
The chances of a single level of government taking charge of Australia’s health system are slim.
AAP/Quentin Jones
The federal budget reignited debate over federal-state relations with a decision to cut $80 billion funding for the state responsibilities of schools and hospitals over the coming years. So how can federal-state…
Progress on GP super clinics is mixed, but it would be a mistake to condemn the program without a closer evaluation.
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The former Labor government’s GP Super Clinics Program has come in for a bashing. The Coalition has derided it as “a total waste of money” and News Corp has dubbed it a “dangerous health care experiment…