‘A money seize’: States declare battle with well being funds over sufferers in public hospitals

'A cash grab': States declare war with health funds over patients in public hospitals

Mr Hunt doesn’t help the proposed change, which he stated would “improve the price of non-public medical insurance” at a time when the federal government was working to attain decrease premium rises.


The push is being spearheaded by NSW after the state took successful in September when Medibank and HCF challenged the typical $753-a-night charge for personal sufferers in single rooms in its public hospitals – main most funds to refuse to cowl the quantity.

Well being funds had already strong-armed public hospitals in different states and territories into accepting the decrease charge.

Queensland well being minister Steven Miles stated the Morrison authorities “can’t proceed to count on us to maintain funding the distinction between what it prices to deal with a non-public affected person and what insurers pay”.

“We welcome this chance to debate funding ranges that really meet the price of our providers,” Mr Miles stated.

It’s understood that Victoria additionally helps mandating the next single room charge.

Insurers argue they need to not should cowl the total price, since public hospitals obtain state and federal authorities funding – and all Australians are entitled to be handled freed from cost.

The COAG well being council’s November communique stated ministers had “thought of whether or not setting minimal advantages for single-room lodging at a public hospital is fascinating” and referred the query to the Australian Well being Ministers’ Advisory Council for recommendation.

“Ministers famous the difficult setting that the present non-public medical insurance regulatory setting creates for public hospital methods,” the communique stated.

Ms David accused the states of “gouging” well being fund members as a part of a “blatant” revenue-raising train, whereby hospital managers pressured growing numbers of sufferers to make use of their medical insurance – which might lead to sudden out-of-pocket prices.


She stated the extra price to insurers of getting to pay for care in public hospitals contributed 2 to three per cent to the price of premiums, with public hospitals having attracted $1.25 billion in income from non-public medical insurance in 2017-18, 84 per cent greater than a decade earlier.

A NSW Well being spokesman stated it could be “untimely” to touch upon the modifications it was searching for earlier than receiving the advisory council’s recommendation.

“Single room advantages paid by non-public well being funds solely characterize round 0.6 per cent of whole member advantages paid by non-public well being funds,” the spokesman stated.

“The charges paid by well being funds for his or her members utilizing non-public hospitals are nearly triple the quantity paid for a NSW public hospital keep.”

Mr Hunt stated growing the one room charge would “improve the stress on non-public medical insurance costs and premiums”.

“There’s nothing to cease the states offering the providers they determine as a part of their present package deal,” he stated.

Dana is well being and industrial relations reporter for The Sydney Morning Herald and The Age.

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