Health insurance

Report

Managing health provider compliance

The objective of this audit was to assess the effectiveness of the Australian Department of Health’s approach to health provider compliance.
Report

Report to the Australian Senate on anti-competitive and other practices by health insurers and providers in relation to private health insurance

This report analyses key competition and consumer developments and trends in the private health insurance industry between 1 July 2018 and 30 June 2019, including ACCC enforcement and other actions relating to the health sector.
Commentary

Young people dropping private health hurts insurers most, not public hospitals

New private health insurance data show young people are continuing to drop their cover. But the industry's argument a youth exodus will put pressure on public hospitals isn't necessarily right.
Report

The impact of climate change on mortality and retirement incomes in Australia

In terms of public policy, this report suggests that the wide-ranging consequences of climate change on mortality, public health and the economy mean that system-wide policy responses (across the health system, aged care services, emergency services, and other social services) are necessary to mitigate the...
Commentary

Three ways of looking at private health insurance

Hooked on subsidies, the system is failing. The government needs to move beyond its prejudices about public and private financing, writes Jennifer Doggett.
Strategy

Australia's long term national health plan

This health plan charts the way forward for Australia over the next 3 and 10 years in the key areas of mental health, primary care, hospitals, preventive health and medical research.
Working paper

The history and purposes of private health insurance

Australia’s private health insurance industry fears it is in a death spiral, and politicians need to rethink whether or to what extent taxpayers should continue to subsidise the industry. This paper finds that Australians are increasingly dissatisfied with private health insurance, and policy reform is...
Report

The improvement journey: why organisation-wide improvement in health care matters, and how to get started

This report is a practical guide to developing an organisation-wide approach to improvement. It summarises the benefits of such an approach and outlines the key elements and steps that NHS trust leaders should adopt when pursuing this agenda.
Guide

Healthy cover: a consumers' guide to the private health insurance changes

On 1 April 2019, private health insurance begins the most extensive changes in recent years. The aim of this guide is to provide an easy-to-understand overview of the changes and point consumers to more detailed information that will help them work through the changes to...
Report

Public spending on health: a closer look at global trends

Global spending on health is growing fast, accounting for 10% of global GDP, but out-of-pocket expenses are still pushing many people into poverty.
Discussion paper

A road map for tackling out-of-pocket health care costs

The rapid growth in out-of-pocket (OOP) costs has undermined the universality of Medicare and the effectiveness of private health insurance. This paper offers a road map for tackling the problems associated with OOP costs through short- and long- term initiatives, backed by evidence and informed...
Report

Report to the Australian Senate on anti-competitive and other practices by health insurers and providers in relation to private health insurance

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.
Report

Mapping primary care in Australia

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.
Report

Bupa health insurance hospital policy changes

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.
Position paper

Australian government response to the independent review of health providers’ access to Medicare card numbers

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

Governance, fit and proper, audit and disclosure requirements for private health insurers: discussion paper

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.
Report

Value and affordability of private health insurance and out-of-pocket medical costs

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.
Report

Juggling risks: insurance in households struggling with financial insecurity

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.
Report

Private health insurance patients in Australian hospitals, 2006–07 to 2015–16

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.
Guide

Private health insurance: a quick guide

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.
Report

Admitted patient care 2015–16: Australian hospital statistics

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

2016 State of the health funds report

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 funds to...
Survey

Vaccination: perspectives of Australian parents

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 their...
Report

The management, administration and monitoring of the Indemnity Insurance Fund

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 criteria: the Department...
Report

Health insurance and service innovation in Australia - implications for the future of Medicare

Overview 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 purchasers. For...