Australia should be better in preventing health and deterioration. Temporary report on providing quality control more efficiently It was released overnight by the Productivity Committee.
However, the committee’s temporary report did not mention a bigger role in personal health insurance in providing more preventive health care.
This means that personal medical Australia and Buba want to provide services or fund management such as GPs to specialists outside the hospital.
Occasionally excluded from the main report is as much as it included.
The reason why the productivity committee made the right call about a personal health insurance company and what would happen when they went on the way:
What do you want a health insurance company?
today, Law is prohibited Health insurance companies are to prevent providing specific types of medical services outside the hospital. This means that it is mainly known as a medical treatment or hospital tumor treatment (for example, housing preparation hospital) in hospitals.
But personal health care is represented by Australia Most Australian Health FundOne of the BUPA members has filed a request to the Productivity Committee to remove these legislative barriers.
If these laws are changed, private health insurance companies can greatly expand their funds for treatment outside hospitals, including primary care, professional treatment, chronic diseases management and community -based services.
They argue that private health insurance companies allow them to pay for hospitals, especially preventive health and chronic disease management, reduce the need for expensive hospitalization and save long -term health care costs. It is to change the focus from disease treatment to maintaining health.
In fact, personal health insurers can already deal with preventive treatment. Many people have apps to track exercise, blood pressure and sleep. They already provide additional treatment for preventive dental treatment, optics, acupuncture, physical therapy and perhaps more complementary treatments. Members can purchase general plans dealing with hospital management, extra care or two.
But the current proposal is different. Health insurers want to receive more services and professional treatment such as more GPs. In other words, they want to be able to deal with the same benefits that Medicare already deals with.
Is this a good idea?
This is not a new debate. Personal health insurance company I tried for a long time Beyond hospital management, they expand their roles.
However, the key concern for private insurers to handle treatment outside the hospital is that the risk of increasing treatment prices outside the hospital and creating a two -layer system is very important.
for 45% of Australians Hold your personal health insurance to guarantee hospital management.
If a private insurer begins to pay for GP and professional counseling, the doctor’s fees are likely to increase. This is because private funds can provide a higher payment schedule than Medicare Rebates to attract doctors to the network. This will increase the overall cost of counseling.
Those who do not have personal health insurance entirely on Medicare will face a longer waiting time, have a longer promise that can be used, and will lead to a greater struggle for treatment. As insurance companies deliver higher doctors to members, personal health insurance premiums will increase.
We are already looking at this epidemiology in the hospital system. For example, surgeons earn much more for the procedures performed in private hospitals compared to public hospitals. This allows them to allocate time unbalanced Private sector.
Therefore, people with personal health insurance often skip the list of long public waiting for the selection process. Open patients face long -term delays for essential treatment..
This imbalance is more uniform for public systems without creating inequality. In order to encourage expensive surgeons to spend more time to public hospitals, public hospitals must pay much more than some of them. Corporate contract.
This practice shifts valuable public resources (funds that can be used for required equipment, beds, or more junior doctors and nurses) and reduce and increase the overall treatment quality of public patients. Waiting time more In the public system.
The reason why the Productivity Committee made the right call
Making private health insurers to expand more fundamentally undermines the universality of Medicare. We are at risk of creating a second -tier first medical system and replicates the inconsistencies and tasks of harassing the hospital division. Therefore, the Productivity Committee made the right call to not include an insurance company in the recommendation.
What is necessary to provide quality management more efficiently is to significantly improve the investment in preventive health care. When chronic conditions begin, it is difficult to reverse and continuously increase the cost. This is recognized by the Productivity Committee in the temporary report.
We must also build truly integrated treatment. This provides smooth and adjusted health services for individual needs rather than individual providers or separate parts of the system.
Imagine the future of GP, experts, allied health experts, and even social support services to share information and cooperate with nursing plans. This important approach reduces redundancy, improves communication, and people Sculpture.
These are the types of policies that make Australian healthy systems more efficient and help Medicare provides unnecessary cloning and inevitable consequences.
