Australia Private hospitals must hold 'greedy' doctors to account to save private health care, says Grattan Institute

18:45  25 november  2019
18:45  25 november  2019 Source:   abc.net.au

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Private health insurance has changed dramatically over the past few decades. Grattan Institute contributes to public policy in Australia, a liberal democracy in a globalised economy. We foster informed public debate on the key issues for Australia, through both private forums and public events

The private health insurance industry fears it is in a death spiral, and politicians need to He has a reputation for creativity, evidence-based innovation and reform in areas ranging from the introduction of activity-based funding for hospitals to new systems of accountability for the safety of hospital care .

a man holding a gun: The report names excessive specialist bills as a key issue for the private health system. (Pixabay: valelopardo)© Provided by Australian Broadcasting Corporation The report names excessive specialist bills as a key issue for the private health system. (Pixabay: valelopardo)

Private hospitals will need to hold "greedy" specialists to account if they want to survive the so-called "death spiral" gripping the health insurance industry, according to the latest report from public policy think-tank Grattan Institute.

The Grattan Institute has made a raft of recommendations identifying $2 billion in possible savings a year, declaring if the changes are realised, it could "save private health care in Australia".

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About the Private Hospital Association. Our hospitals : Offer over 1,000,000 bed nights to the Irish healthcare system each year Care for over 400,000 patients annually Carry out over 250,000 surgical procedures including over half of all spinal and cardiac surgeries Are fully accredited by internationally

In a paper on private health insurance, the Grattan Institute is critical of how the sector currently works. In a paper on private cover, Grattan Institute analysts Dr Stephen Duckett and Kristina Nemet warned the sector faced a death spiral if young, healthy people continued to drop their cover.

If those savings were passed on to consumers, the report said insurance premiums could drop by as much as 10 per cent.

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The paper paints yet another bleak picture of the private health system, just months after it declared the sector had become increasingly unfair, costly and confusing.

It names "excessive" private hospital costs and "egregious" specialist bills as two key factors contributing to the "death spiral," where young and healthy people abandon private health cover, leaving a larger proportion of unhealthier, older and expensive users.

"A small minority of doctors are greedy — a handful of specialists who bill their patients at more than twice the official Medicare Benefit Schedule fee," the report states.

"Patients are often not told of these costs in advance, and are not happy when they get surprise bills."

Hospitals must negotiate with doctors

To combat excess charges, the report suggests an "Efficient Price" system be implemented.

Under the proposed model, private hospitals would bundle all costs — from doctors, hospitals, medications, prostheses and tests.

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The hospitals would either absorb the excess costs from doctors, or charge patients a "declared and upfront fee" to cover the charge.

The Grattan Institute's Health program director, Stephen Duckett, said because patients had little power to negotiate, they could not reasonably be expected to challenge their specialists.

"We've got to get some way of holding those doctors to account, and one of the ways of doing that is for the private hospitals to say to them: 'if you're going to practice in this hospital, you're going to negotiate with us what your fees are'," Mr Duckett said.

"The private hospitals will say 'we want to attract more patients, and patients will know if they come to this hospital, they'll have lower out-of-pockets'.

"It's in the interest of private hospitals to start to get on top of the bills, because patients are dropping out."

Health policy experts have previously floated several reforms to curb excessive specialist fees, including government regulation, banning specialists from accessing Medicare rebates if they charge too much, or an opt-in Medicare system only for doctors who agree to certain fee restrictions.

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The Federal Government has announced it will publish the fees of individual specialists on a searchable website, to help patients avoid "bill shock".

However, it is a voluntary scheme, with specialists having to opt-in and supply their fee information.

Private HealthCare Australia chief executive Rachel David said the issue needed to be addressed.

"The report has identified that actually only a very small number of doctors are charging high fees, but that small number are ruining it for everyone," she said.

"Under the current law it's very difficult to prevent a specialist charging what they like, but I think more can be done by government, health funds and hospitals to direct patients away from those people."

Private hospitals 'need to lift their game'

The report also found private hospitals "need to lift their game", accusing them of being less efficient than public hospitals.

It said private patients stay in hospital nine per cent longer than public patients with similar conditions.

"Take maternity care for example — patients stay in private hospitals about a day longer for a normal delivery than patients in public hospitals," Mr Duckett said.

"Then you say — well that's because the patient wants to stay a day longer and many, many women do want to stay longer, and that's part of the value proposition of health insurance, and that's great.

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"But the problem is — should that be subsidised by the taxpayer? If it's solely a patient choice, and not really a clinical necessity, should the taxpayer be subsidising that extra?"

However, Dr David said the comparative analysis should be approached with caution.

"I think they're looking at apples and oranges in some cases," she said.

"The private hospital system is incredibly efficient at getting people in and out of surgery without waiting times.

"Where I think perhaps we could do better is the length of stay for things like rehabilitation, where the care could be provided in the community, and in fact that's what patients want."

Report 'fundamentally ignorant'

Australian Private Hospitals Association chief executive Michael Roff slammed the report, saying it was "riddled with selective analysis", "incorrect assumptions" and demonstrated a "fundamental ignorance of how the private sector operated.

"The report fails to identify any mechanism to force doctors to negotiate fees with private hospitals who do not employ these doctors," he said.

"It sounds like a good idea in theory. In practice, I'm not even sure that it would be legal."

Mr Roff also said the negotiations between hospitals and doctors, proposed in the report, would increase hospital costs.

"Hospitals would be deemed quasi-employers of doctors, which would drive up the costs of the hospitals' indemnity insurance," he said.

"These cost increases will result in higher health insurance premiums."

Government will carefully consider report

In a statement, a spokesman for the Health Minister Greg Hunt said the government would consider the Grattan Institute Report.

"The Government welcomes suggestions that could further improve the affordability and value of private health insurance as part of a planned second wave of reforms," he said.

"The Government will carefully consider these suggestions and other proposals in the context of consultation on further reforms to improve private health insurance, that are being worked through with the sector."

Stephen Duckett said if nothing changed, premiums would continue to go up.

"People are going to continue to drop out, and health insurance is going to be less and less viable," he said.

"That will then require private hospitals to think through what their strategies are for surviving."

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