Health insurance


For the period 1 July 2017 to 30 June 2018
26 Nov 2018

This report analyses key competition and consumer developments and trends in the private health insurance industry between 1 July 2017 and 30 June 2018, including ACCC enforcement and other actions relating to the health sector.


29 Jul 2018

Primary care policy in Australia is under-done. Neither the Commonwealth nor the states have taken the lead. This report shows new policies are needed.


7 Jun 2018

This report discusses the detrimental impacts of the changes on consumers, particularly those in regional Australia. The report also considers the appropriateness of communications that Bupa provided to policyholders about the changes.

Annual Report

16 Feb 2018

The Australian government has released this response to the independent review, agreeing without qualification to thirteen recommendations and agreeing in-principle to the remaining recommendation. The response also acknowledges the excellent work of Professor Peter Shergold and the review panel.

Discussion paper

7 Feb 2018

The Australian Prudential Regulation Authority (APRA) has announced a package of proposed measures designed to improving governance and decision-making in the private health insurance sector.


19 Dec 2017

This report looks at the challenges faced by consumers, in terms of the affordability and out-of-pocket medical costs associated with private health insurance, including trends in the decline and downgrading of coverage.


14 Dec 2017

To understand why people on low incomes do or do not take out insurance we need to understand their overall financial circumstances and the multiple risks they face.


6 Dec 2017

This report presents information on admitted patient hospitalisations that were completely or partially funded by private health insurance in Australia’s public and private hospitals over the past ten years.


4 Aug 2017

This quick guide outlines the broad arrangements around private health insurance that exist today. It provides brief information on the industry and regulatory arrangements, private health insurance membership and types of cover, government surcharges and incentives, and key features of private health insurance in Australia....


17 May 2017

This report provides a comprehensive range of performance information and other statistics about activity in Australia’s public and private hospitals.


24 Mar 2017

Summary: The information used in the report in order to compare health funds is based on data collected for regulatory purposes. This information is the most appropriate, independent and reliable data available.

The report is intended to help you to decide which health...


8 Mar 2017

The latest Australian Child Health Poll has revealed a worrying pattern of practice in Australian health care, in which some unvaccinated children are being refused care by health care providers.

The poll found that one in six Australian children who are not up-to-date with...



17 Nov 2016

Late last year the Federal Health minister, Sussan Ley, acknowledged that the private health insurance system was in need of reform and consulted widely with consumers and other interested groups. More than 40,000 people also responded to an online survey.

A spokesman for Ley...


19 Oct 2016

Audit objective and criteria

The audit objective was to assess the departments of Health and Human Services’ administration, including oversight and monitoring arrangements, for the Indemnity Insurance Fund.

To form a conclusion against the objective, the ANAO adopted the following high level...



20 Sep 2016

We’re paying too much for a bloated financial service sector.

A prominent example is Australia’s largest health insurer, Medibank Private, which in the last financial year absorbed just over a billion dollars of contributors’ premiums in management overheads and profits – $511 million as...


16 Aug 2016

Summary: The reports provide details on trends in membership and benefits paid. The reports detail the number of insured people with hospital treatment and general treatment since 1971 on a State and Territory basis, and show utilisation of health services and benefits paid for...


20 Apr 2016


For healthcare innovation to flourish there needs to be a real market for health services in Australia. Providers that deliver cost-effective, patient-centred care should be rewarded for increased efficiency and lower costs by being able to sell that value-proposition to cost-and quality-conscious...


17 Feb 2016

This report is prepared pursuant to section 167 of the Private Health Insurance (Prudential Supervision) Act 2015. The report details the operations of private health insurers including details about:

premiums and other amounts payable to the fund; fund benefits and other amounts payable out...


8 Jan 2016

Consumers frustrated by the confusion and uncertainty of choosing the right health insurance policy will gain real buying power under a reform plan proposed by the Consumers Health Forum.

Technical report

1 Nov 2015


Australian governments have maintained a strong focus on health policy over many years. Much of that focus has been cast as a reform agenda, addressing pressures facing health expenditure and public funding of health care; pressures on hospitals and the health workforce,...



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