Financial Pressure and Economic Hardship and the Reform Context

Size: px
Start display at page:

Download "Financial Pressure and Economic Hardship and the Reform Context"

Transcription

1 Financial Pressure and Economic Hardship and the Reform Context The costs to individuals living with chronic illness in Australia and their families of treatment, management and care of their condition or conditions are cushioned ostensibly by publicly-funded health care and social security arrangements. There is, however, growing evidence that despite substantial efforts to publicly fund essential care and support, out-of-pocket spending is financially stressful for chronically ill patients and their families, particularly those with lower incomes. 1 We know from previous work that out of pocket costs increase with additional chronic illnesses and that the poorest members of the community both have more chronic illnesses and spend a greater proportion of their income on health-related costs. 2,3 Furthermore, social disadvantage is known to be associated with less access to allied health and this is thought to be related to the cost of these services. 4,5 For many of individuals living with chronic disease and their families the ongoing costs lead to economic hardship. In the context of health reforms, the final report of the National Health and Hospitals Reform Commission was sensitive to the matter of out-of-pocket costs for health care. The Report, for example, recognised that people at times do not seek necessary dental care because of cost. 6 Additionally it recommended a review of the Medicare Safety Net arrangements and the scope of services contained under a universal service entitlement. Nothing was said about the effect of copayments on medication compliance, however. 6 The Serious & Continuing Policy & Practice Study The Serious and Continuing Illness Policy and Practice Study (SCIPPS) is a five-year National Health and Medical Research Council funded study which commenced in 2006 with the following aims: - to improve the health outcomes of those suffering from chronic illness, - to reduce unnecessary hospital admissions of this group, and - to develop more effective preventive strategies. Stage 1 of SCIPPS involved a qualitative study of patient (and carer) experience of living with and managing, and health professional experience of managing, chronic illness. Patients recruited to the study were aged and had one or more of the following chronic conditions chronic heart failure (CHF), diabetes, and chronic obstructive pulmonary disorder (COPD). This research was supplemented by epidemiologic reviews of the index conditions within the Australian environment and literature reviews of the experience of people living with CHF, as well as a policy diffusion study. 1 Updated August 2011

2 Stage 2 of SCIPPS built on results of the qualitative study and included surveys of older adults living with chronic conditions, evaluations of models of chronic disease management, and a study focusing on Indigenous Australians living with chronic conditions. SCIPPS Findings Findings discussed in this section are detailed in the following publications: 1. Jeon Y-H, Essue B, Jan S, Wells R, Whitworth JA. Economic hardship associated with managing chronic illness: a qualitative enquiry. BMC Health Serv Res 2009; 9: Yen L, Gillespie J, Jeon Y-H, Kljakovic M, Brien J, Jan S, Lehnbom E, Pearce-Brown C, Usherwood T. Health professionals, patients and chronic illness policy: a qualitative study. Health Expect 2011; 14(1): Essue B, Kelly PJ, Leeder S, Jan S. We can t afford my chronic illness! The household economic impact of chronic obstructive pulmonary disease and comorbidity in Western Sydney, Australia. J Health Serv Res Policy 2011; 16(4): Ongoing Financial Pressure due to Treatment and Management of Chronic Illness Interviews of patients living with chronic illness (n=52) and their informal carers (n=14) showed that they experienced ongoing financial pressure due to high costs incurred as a result of the treatment and management of chronic illness (i.e. out-of-pocket costs) and the purchase of additional necessities required for the management of the illness such as home modifications and assistive devices. Affordability of treatment Financial pressure resulted in patients having a limited capacity for health-related decision making and for engaging in other desired pursuits. For example, participants were often unable to follow their management plans or actively engage in secondary prevention activities due to financial constraints. Some patients prioritised essential treatment options and/or medications (i.e. some prescriptions were not filled or compliance with medication regimes was compromised). Affordability of other things The affordability of additional necessities required for the management of the illness, such as healthy food, exercise and gym memberships and joining social activities, was also raised as a concern by patients and carers interviewed. A common view among participants was that maintaining a healthy life-style is more expensive when they have a chronic problem. Consequently, participants reported limiting discretionary spending, cutting back on more expensive, healthier foods and reducing participation in regular exercise programs at a gym. 2 Updated August 2011

3 Factors that influenced economic hardship Several factors influenced the level of economic hardship experienced by participants in the management of their chronic illness. These were: Eligibility for pensions and other government subsidies or allowances and access to concession cards Eligibility criteria of health services Co-morbidity or multi-morbidity The health literacy of patients and carers Knowledge of self-care. Eligibility for pensions, other government subsidies or allowances (e.g., pension, carer allowance, health care card or Department of Veterans' Affairs Gold Card, oxygen subsidy scheme), and/or a concession card (for additional discount rates for electricity, water and other home care services) influenced whether participants experienced economic hardship. While participants eligible for pensions or other government subsidies were grateful for these schemes, a subset of these individuals were unable to overcome economic hardship despite this support, and any additional costs not covered by Medicare or other support measures posed an economic burden on their life. Individuals ineligible for pensions or government subsidies, often due to their means-tested income exceeding the eligibility criteria, felt economic hardship severely and it was reported to impact significantly on their illness management. Further to this, a lack of flexibility in health care services influenced whether participants experienced economic hardship because eligibility criteria were not always inclusive of those most in need. For example, to be eligible for an oxygen subsidy scheme (free, limited, oxygen support for people with COPD) patients have to be a permanent resident of the ACT or NSW. Hardship was exacerbated when patients had 'co-morbidities' or 'multi-morbidities' with the cost of illness management increasing as more illnesses were being managed. The level of health literacy, in terms of patients' and carers' awareness of the system and services, also played an important role in the ability to access subsidies, income support or other available benefits (e.g., free oxygen, community transport or taxi vouchers). Lack of knowledge of self-care added economic hardship, costing both the participants and the health care system. Consequences of Economic Hardship Participants reported the need to be extremely vigilant with expenses and to limit physical and social activities in order to minimise economic hardship and maintain capacity to act on lifestyle risk factors and balance their life and illness management requirements. Confirmatory or Novel? NOVEL IN AUSTRALIAN CONTEXT 3 Updated August 2011

4 This study is the first Australian qualitative inquiry that explored the economic impact of common chronic ill-nesses (COPD, CHF and diabetes) based on the perceptions of patients and family carers and confirms findings of earlier qualitative studies of chronic illness experiences regarding the kinds of economic hardship associated with managing chronic illness These include the individual s compromised ability to afford not only essential treatment and medication but also to maintain a health lifestyle and quality of life. Moreover, in the 2008 Commonwealth Fund International Health Policy Survey, 36% of Australian participants (n=593) reported access problems (accessing physicians, filling prescriptions, or getting recommended test, treatment or follow-up) because of cost. 11 The NOUS-Menzies Centre for Health Policy s national survey (n=1,200) conducted in 2008 confirmed these findings: those reporting financial stress were more likely to skip a medical test or treatment recommended by a doctor, were more likely to fail to collect a prescription or skip doses of medicine, and were less likely to access dental services when necessary. 12 This study adds to previous research by identifying risk groups for whom the impact of economic hardship on their management of chronic illness was reported as greater relative to others in this study. The groups most at risk include those who are: not in paid employment; on multiple medications; experiencing co-morbidity; from culturally and linguistically diverse (CALD) or Indigenous backgrounds; and/or not eligible for government subsidies and financial support (e.g., low income employees or an income bracket neither sufficiently low for government subsidy eligibility nor high enough to afford necessary expenses; or self-funded retirees without good cash reserves). Furthermore, our study suggests that the problems associated with economic hardship are not geographically specific and are not restricted to locations known to have higher concentrations of residents with lower socioeconomic status. Participants discussed coping strategies to manage their ongoing economic hardship. One strategy discussed was prioritising essential treatments or living expenses, including those related to their care and management. However, participants still had to make a choice between purchasing essential treatments and medications and paying for basic living expenses as most could not afford both. Recent Australian studies provide similar results. Hynd et al. (2008) investigated the impact of a copayment increase for dispensing Australian Government-subsidised medicines and found a significant reduction in the patient's ability to afford essential medicines following the initiative. 13 Internationally there are an increasing number of studies which report often catastrophic economic consequences associated with chronic illness in low and middle income countries Xu and colleagues in their examination of data from household surveys in 59 countries, argue that middle and 4 Updated August 2011

5 low income countries in particular ought to address gaps in their health policy in terms of available health services, health insurance, out-of-pocket payments and financial risk protection to minimise catastrophic health expenditures and potential consequences of impoverishment. 16 Recommendations The findings in this study indicate the need for further research on the nature of catastrophic health spending among people with chronic, complex conditions and its relationship with health policies in developed countries such as Australia in which such phenomenon is often overlooked. Policies should be developed that take account of the economic impact of chronic illness on sufferers and their supporters. FUTURE RESEARCH This research provides a platform for further research into strategies to improve the affordability of illness management, particularly self-management activities, given the significant role they play in controlling the progression of illness. In addition, it highlights a need to critically appraise current health, social and welfare policy in order to identify possible options for alleviating hard-ship. This will require the following: 1. A detailed investigation of the different dimensions of economic hardship experienced by households affected by chronic illness to measure the scope and scale of the hardship, the coping strategies employed to manage and, where possible, to overcome the hardship. 2. An economic evaluation of subsidising supportive prevention measures (e.g., food, exercise and transport) with additional funding for medical costs (e.g. medication, oxygen and health care equipment), in comparison with health care services provision for those who end up in hospital due to failures in existing primary care and social support arrangements. 3. A review of current eligibility criteria for health and social care and other support policies associated with funding subsidies for people with chronic illness, in particular those with multi-morbidity. The findings of this study underscore the need to consider the cost of lifestyle changes required as part of chronic disease management in developing future policy to address economic hardship among people affected by chronic illness. Further research is necessary to explore the ways in which people cope with economic hardship and prioritise conflicting demands to balance between managing chronic illness and living a normal life. Future research should focus on developing an understanding of health care decisions that are likely to cause less than optimal health outcomes and result in increased costs to the health system. For health care practitioners these insights are fundamental to providing appropriate and flexible care for chronically ill patients and support for their families. The findings highlight the need to examine indepth, and even to challenge, common perceptions of the economic impact of chronic illness with respect to geographic or government jurisdictional boundaries. Future policy needs to be multisectoral, focusing not only on clinical issues but also on the individual, their household and economic capacity to manage chronic illness. 5 Updated August 2011

6 Costs Associated with Treatment and Management of Chronic Illness Lead to Compliance Failures Health Care Professionals Views Focus groups of doctors, nurses, allied health staff and pharmacists (n=88) investigated health professionals reactions to patients and informal carers perceptions of health issues which related to the difficulty managing their chronic illness in three areas: economic hardship; 17 the complexity associated with managing co-morbid conditions; 18 and multiple competing demands inherent in balancing illness and its management with the desire to lead a normal life. 19 Health care professionals often saw the patient experience as a series of failures relating to compliance or service fragmentation. Their comments on compliance failures had particular relevance to economic hardship and the ability of patients to follow recommended treatment and to selfmanage. While health care practitioners saw personal priority-setting as a key compliance factor, the view of most health care professionals was that medication and other treatment costs were prohibitive and it was widely believed that these costs lead to compliance problems with patients rationing their treatments, selectively filling prescriptions, storing partly used courses of medication for later use and, at times, sharing medications with relatives and friends. Cost was also seen as a factor in patients abilities to effect lifestyle changes. Most focus groups identified the prohibitive costs of individually-focused preventive health, such as gym membership and weight loss programs. Nurses and allied health staff saw patients making choices between rival necessities: tradeoffs between paying essential bills, buying good quality food and paying for medicines. They and hospital specialists recognized that these difficulties were made worse by the perceived higher cost of purchasing recommended healthy and special food. Health Professionals Linked Compliance to Health Literacy. Health professionals linked compliance to health literacy the degree to which individuals have the capacity to obtain, process and under-stand basic health information and services needed to make appropriate health decisions. 20 They saw formal learning as crucial to the patient's ability to make appropriate management decisions. Confirmatory or Novel? CONFIRMATORY All but a small group of health care professionals, irrespective of background, identified social and economic issues as key elements in patients compliance. Most of the professionals believed that compliance would improve with more adequate pensions and safety net arrangements for pharmaceuticals and necessary aids. The international literature on chronic care recognises the effect of these financial barriers. 21 Economic Hardship associated with Chronic Obstructive Pulmonary Disorder All patients enrolled in the Respiratory Ambulatory Care Service in Western Sydney between 1 January 2001 and 31 August 2008 were surveyed to examine the household economic consequences associated with out-of-pocket spending for the care and management of chronic obstructive 6 Updated August 2011

7 pulmonary disease (COPD). The household economic consequences were measured in terms of economic hardship indicators, based on the response to two questions: 1. the household s inability to pay at least one living or medical expense in the previous year; and 2. the household s use of financing coping strategies in order to pay a living expense in the previous year. Hardship was a dichotomous variable, codes as either present or not. Of the two hundred and eighteen respondents who completed questionnaires on behalf of their household (RR = 38%), virtually all had at least one other chronic illness apart from COPD. One hundred and sixty nine respondents (78%) experienced economic hardship while managing their illness. Of all respondents, just over a quarter (27%) reported being unable to pay for medical or dental expenses; the same proportion were unable to pay rent or mortgage; 1 in 5 (18%) were unable to pay for medication; and 1 in 5 (19%) were unable to pay utility bills. In addition, 141 (65%) households reported using at least one financial coping strategy in the past year to pay a living or medical expense. Drawing on savings was the commonest coping strategy (60%), followed by borrowing money (17%), seeking assistance from a charity organisation (13%), selling assets (10%) and, least commonly, moving house (2%). In a comparison of respondents who indicated they experienced economic hardship and those who did not, respondents experiencing economic hardship paid more out-of-pocket overall (=AUD$544 versus =AUD$280; t148= p=0.04) and for medications and oxygen specifically (=AUD$247 versus =AUD$125; t83=-3.98, p<0.0001). They also paid more for homecare assistance (=AUD$218 versus =AUD$156) and illness related transport (=AUD$202 versus =AUD$104). 56 (46%) respondents had catastrophic levels of out-of-pocket spending which made them 7.5 times more likely to experience economic hardship (95% CI: ). Out-of-pocket burden was categorized as catastrophic when OPP costs for a period were greater than 10% of a household s income for the given period. Novel or Confirmatory? CONFIRMATORY Despite a universal health care system in Australia, it is clear from this study that patients with COPD experience high levels of out-of-pocket spending which can impact their ability to maintain necessary living and medical expenses: 78% of patients in our sample reported some form of economic hardship and 46% were experiencing catastrophic health care expenditure. These findings support concerns raised elsewhere that the treatment for COPD and chronic illness management generally are 22, 23 increasingly becoming less affordable. Higher levels of OOP spending are partly due to the presence of co-morbidity each additional chronic condition can increase individual health care expenditure by as much as 6%. 24 Co-morbidity is now the rule, not the exception, 25 as seen in this study. Within this context, worsened by increasing co-payments for medical care and medications which have risen faster in Australian than in any other OECD country 25 - and inadequate coverage for 7 Updated August 2011

8 essential self-management supports (e.g. transport, medical equipment), we have the makings of a serious social problem. There are safety nets to cap individual levels of spending on medical care and prescribed pharmaceuticals but households often struggle well before they meet these minimum levels of spending and as a result, forego treatment. 1 One source of out-of-pocket spending is over-thecounter medications which impose a large cost burden because they are routinely used but are rarely subsidised. 17 In addition, substantial variation in the eligibility criteria, funding and subsidisation of domiciliary oxygen therapy across jurisdictions in Australia 26 can result in high out-of-pocket costs for home oxygen users, as reported in this study. While concessions for basic living and medical expenses are enshrined in the social security system, they may not be enough. Here we found that possession of a concession card (e.g. Pensioner Concession Card; Commonwealth Senior s Health Card; Health Care Card) did not protect households from experiencing hardship or a high out-of-pocket burden. This calls into question the adequacy and breadth of support provided by these programs, particularly for those who are retired and those with low incomes both of whom are over-represented in this study. The development of a Health Care Card specifically for the chronically ill, not income tested, may better meet the diverse needs of this low-income sub-group. 27 Identifying the particular types of expenditures that contribute most to the high out-of-pocket burden experienced by the chronically ill will also point to options for improving the available support. A household s first response to high health care costs is often to mobilise savings, followed by a combination of selling assets, borrowing money and labour substitution within the household. 28 Dealing with catastrophic health expenditure can cripple a household s economic wellbeing and diminish their ability to cope with future health shocks. 28 Policy interventions must strengthen protections for the household unit, especially low income groups such as the retired. They should support households to cope with the double jeopardy that chronic illness often poses: increasing health expenditure at a time when individuals are also experiencing a reduction in productive labour. References 1. Blendon RJ, Schoen C, DesRoches CM, Osborn R, Scoles KL, Zapert K. Inequities in health care: a five-country survey. Health Aff (Millwood) 2002; 20: McCrae I, Yen L, Jeon Y-H, Herath P. Costs faced by older Australians with chronic health conditions. Conference Presentation, Global Conference on the Ageing Melbourne, May 2-5, Updated August 2011

9 3. Yen L, McRae I, Jeon Y-H, Essue B, Herath P. The impact of chronic illness on workforce participation and the need for assistance with household tasks and personal care by older Australians. Health Soc Care Community 2011; 19(5): Wiggers JH, Sanson-Fisher RW, Helpin SJ. Prevalence and frequency of health service use: associations with occupational prestige and educational attainment. Aust J Public Health 1995; 19(5): Schofield DJ. Ancillary and specialist health services: does low income limit access? National Centre for Social and Economic Modelling Discussion Paper No. 22. University of Canberra. 6. National Health and Hospitals Reform Commission. A Healthier Future for All Australians: Final Report June Report No. P Canberra: Commonwealth of Australia, Bergs D. The hidden client women caring for husbands with COPD: their experience of quality of life. J Clin Nurs 2002; 11(5): Evangelista LS, Kagawa-Singer M, Dracup K. Gender differences in health perceptions and meaning in persons living with heart failure. Heart Lung 2001; 30(3): Rhodes DL, Bowles CL. Heart failure and its impact on older women s lives. J Adv Nurs 2002; 39(5): Riegel B, Carlson B. Facilitators and barriers to heart failure self-care. Patient Educ Couns 2002; 46(4): Schoen C, Osborn R, How SK, Doty MM, Peugh J. In chronic condition: experiences of patients with complex health care needs, in eight countries, Health Aff (Millwood) 2009; 28(1): w The Menzies Centre for Health Policy (MCHP) and The NOUS Group. Survey of attitudes towards the Australian health system: Part 2 Financial stress and the Australian health system. Sydney; MCHP, (accessed July 2011). 13. Hynd A, Roughead E, Preen D, Glover J, Bulsara M, Semmens J. The impact of co-payment increases on dispensings of government-subsidised medicines in Australia. Pharmocoepidemiol Drug Saf 2008; 17(11): Heeley E, Anderson C, Huang Y, Jan S, Li Y, Liu M, Sun J, Xu E, Wu Y, Yang Q, Zhang J, Zhang S, Wang J. Role of health insurance in averting economic hardship in families after acute stroke in China. Stroke 2009; 40(6): McIntyre D, Thiede M, Dahlgren G, Whitehead M. What are the economic consequences for households of illness and of paying for health care in low- and middle-income country contexts. Soc Sci Med 2006; 62: Updated August 2011

10 16. Xu K, Evans D, Kawabata K, Zeramdini R, Klavus J, Murray C. House-hold catastrophic health expenditure: a multicounty analysis. Lancet 2003; 362: Jeon Y-H, Essue B, Jan S, Wells R, Whitworth JA. Economic hardship associated with managing chronic illness: a qualitative enquiry. BMC Health Serv Res 2009; 9: Jowsey T, Jeon Y-H, Dugdale P. Glasgow NJ, Kljakovic M, Usherwood T. Challenges for comorbid chronic illness care and policy in Australia: a qualitative study. Aust New Zealand Health Policy 2009; 6: Jeon Y-H, Jowsey T, Yen L, Glasgow NJ, Essue B, Kljakovic M, Pearce-Brown C, Mirzaei M, Usherwood T, Jan S, Kraus SG, Aspin C. Achieving a balanced life in the face of chronic illness. Aust J Prim Health 2010; 16(1): Neilsen-Bohlman L, Panzer AM, Kindig DA (eds). Health Literacy: A Prescription to End Confusion. Washington DC: National Academcy Press, World Health Organisation. Innovative Care for Chronic Conditions: Building Blocks for Action: Global Report. Geneva: WHO, Metherell M. Seriously ill patients hit by rising medical costs. The Sydney Morning Herald. 5 February ngao.html (accessed August 2011). 23. Walker C. Chronic illness and consumer inequality: the impact of health costs on people with chronic illnesses in rural and regional Australia. Aust Health Rev 2007; 31(2): Abegunde DO, Stanciole AE. The economic impact of chronic diseases: how do households respond to shocks? Evidence from Russia. Soc Sci Med 2008; 66(11): Hynd A, Roughead EE, Preen DB, Glover J, Bulsara M, Semmens J. Increased patient copayments and changes in PBS-subsidised prescription medicines dispensed in Western Australia. Aust N Z J Public Health 2009; 33(3): Serginson JG, Yang IA, Armstrong JG, Cooper DM, Matthiesson AM, Morrison SC, Gair JM, Cooper B, Zimmerman PV. Variability in the rate of prescription and cost of domiciliary oxygen therapy in Australia. Med J Aust 2009; 191(10): Consumer s Health Forum of Australia (CHF). Cost of chronic illness and quality of use of medicine. Canberra; CHF, Sauerborn R, Adams A, Hien M. Household strategies to cope with the economic costs of illness. Soc Science Med 1996; 43: Updated August 2011

Health Policy. Perceptions of economic hardship and implications for illness management: a survey of general practitioners in western Sydney.

Health Policy. Perceptions of economic hardship and implications for illness management: a survey of general practitioners in western Sydney. Menzies Centre for Health Policy Perceptions of economic hardship and implications for illness management: a survey of general practitioners in western Sydney. January 2011 Dr Angela Beaton 1, Professor

More information

Submission to the Senate Committee on out-of-pocket costs in Australian healthcare

Submission to the Senate Committee on out-of-pocket costs in Australian healthcare Submission to the Senate Committee on out-of-pocket costs in Australian healthcare June 2014 Combined Pensioners & Superannuants Association of NSW Inc, 2014 Combined Pensioners & Superannuants Association

More information

Health Policy, Administration and Expenditure

Health Policy, Administration and Expenditure Submission to the Parliament of Australia Senate Community Affairs Committee Enquiry into Health Policy, Administration and Expenditure September 2014 Introduction The Australian Women s Health Network

More information

The Menzies-Nous Australian Health Survey 2010

The Menzies-Nous Australian Health Survey 2010 The Menzies-Nous Australian Health Survey 2010 November 2010 Contents 1 Executive summary...1 1.1 Health and health services...1 1.2 Aged care services...2 2 Background...3 3 Health and health services...5

More information

SUBMISSION TO THE SENATE INQUIRY INTO OUT-OF- POCKET COSTS IN AUSTRALIAN HEALTHCARE. Prepared by National Policy Office

SUBMISSION TO THE SENATE INQUIRY INTO OUT-OF- POCKET COSTS IN AUSTRALIAN HEALTHCARE. Prepared by National Policy Office SUBMISSION TO THE SENATE INQUIRY INTO OUT-OF- POCKET COSTS IN AUSTRALIAN HEALTHCARE Prepared by National Policy Office May 2014 COTA Australia Authorised by: Ian Yates AM Chief Executive iyates@cota.org.au

More information

Health Policy. Findings: Optimising prevention and the management of care for Australians with serious and continuing chronic illness

Health Policy. Findings: Optimising prevention and the management of care for Australians with serious and continuing chronic illness Menzies Centre for Health Policy Findings: Optimising prevention and the management of care for Australians with serious and continuing chronic illness May 2012 The Serious and Continuing Illness Policy

More information

The Health of Senior Australians and the Out-of-Pocket Healthcare Costs They Face. November 2012

The Health of Senior Australians and the Out-of-Pocket Healthcare Costs They Face. November 2012 The Health of Senior Australians and the Out-of-Pocket Healthcare Costs They Face November 2012 National Seniors Productive Ageing Centre 2012 The National Seniors Productive Ageing Centre (NSPAC) owns

More information

Inquiry into the out-of-pocket costs in Australian healthcare

Inquiry into the out-of-pocket costs in Australian healthcare Submission to the Senate Standing Committee on Community Affairs - References Committee Inquiry into the out-of-pocket costs in Australian healthcare May 2014 Out-of-pocket costs in Australian healthcare

More information

Quality in and Equality of Access to Healthcare Services

Quality in and Equality of Access to Healthcare Services Quality in and Equality of Access to Healthcare Services Executive Summary European Commission Directorate-General for Employment, Social Affairs and Equal Opportunities Manuscript completed in March 2008

More information

The Menzies-Nous Australian Health Survey 2012

The Menzies-Nous Australian Health Survey 2012 The Menzies-Nous Australian Health Survey 2012 Report 23 October 2012 Bold ideas Engaging people Influential, enduring solutions This page is intentionally blank. Nous Group n o usgro u p. c o m. a u i

More information

RURAL DOCTORS ASSOCIATION OF AUSTRALIA. Submission to the Private Health Insurance Consultation

RURAL DOCTORS ASSOCIATION OF AUSTRALIA. Submission to the Private Health Insurance Consultation RURAL DOCTORS ASSOCIATION OF AUSTRALIA Submission to the Private Health Insurance Consultation Via email: PHI Consultations 2015-16 Contact for RDAA: Jenny Johnson Chief Executive Officer Email: ceo@rdaa.com.au

More information

The role of t he Depart ment of Veterans Affairs (VA) as

The role of t he Depart ment of Veterans Affairs (VA) as The VA Health Care System: An Unrecognized National Safety Net Veterans who use the VA health care system have a higher level of illness than the general population, and 60 percent have no private or Medigap

More information

Transport to Access Health Services in Rural and Remote NSW: a Community Perspective

Transport to Access Health Services in Rural and Remote NSW: a Community Perspective Transport to Access Health Services in Rural and Remote NSW: a Community Perspective Ros Bragg Ros Bragg, Liz Reedy Canberra, Australian Capital Territory, 4-7 March 2001 Transport to access health services

More information

Centrelink payments and entitlements, pension bonus scheme and work bonus

Centrelink payments and entitlements, pension bonus scheme and work bonus Centrelink payments and entitlements, pension bonus scheme and work bonus 1 January 2014 While there are many different Centrelink payments and entitlements available, in this flyer we have outlined the

More information

Out of pocket costs in Australian health care Supplementary submission

Out of pocket costs in Australian health care Supplementary submission Out of pocket costs in Australian health care Supplementary submission The AMA welcomes the opportunity provided by the Senate Community Affairs References Committee to make a supplementary submission

More information

Response to the New Brunswick Government Consultation on a Prescription Drug Plan for Uninsured New Brunswickers

Response to the New Brunswick Government Consultation on a Prescription Drug Plan for Uninsured New Brunswickers Response to the New Brunswick Government Consultation on a Prescription Drug Plan for Uninsured New Brunswickers Brief submitted by The New Brunswick Nurses Union April 2012 Background The New Brunswick

More information

INSIGHT on the Issues

INSIGHT on the Issues INSIGHT on the Issues AARP Public Policy Institute Medicare Beneficiaries Out-of-Pocket for Health Care Claire Noel-Miller, PhD AARP Public Policy Institute Medicare beneficiaries spent a median of $3,138

More information

14 Treatment provisions

14 Treatment provisions 14 Treatment provisions Chapter summary The Military Rehabilitation and Compensation Act 2004 (MRCA) allows the Military Rehabilitation and Compensation Commission (MRCC) to provide treatment to a serving

More information

Survey of attitudes towards the Australian health system

Survey of attitudes towards the Australian health system Survey of attitudes towards the Australian health system Part 3: Private The Menzies Centre for Health Policy and The Nous Group recently surveyed 12 Australians to understand their attitudes towards the

More information

DISCUSSION PAPER NUMBER

DISCUSSION PAPER NUMBER HSS/HSF/DP.09.4 Financial risk protection of National Health Insurance in the Republic of Korea:1995-2007 DISCUSSION PAPER NUMBER 4-2009 Department "Health Systems Financing" (HSF) Cluster "Health Systems

More information

ACHPER NSW. PDHPE HSC Enrichment Day 2009. Core 1

ACHPER NSW. PDHPE HSC Enrichment Day 2009. Core 1 ACHPER NSW PDHPE HSC Enrichment Day 2009 Core 1 Health Priorities in Australia Concept map of syllabus What role do health care facilities & services play in achieving better health for all Australians?

More information

CLOSING THE GAP IMPROVING INDIGENOUS ACCESS TO MAINSTREAM PRIMARY CARE

CLOSING THE GAP IMPROVING INDIGENOUS ACCESS TO MAINSTREAM PRIMARY CARE CLOSING THE GAP IMPROVING INDIGENOUS ACCESS TO MAINSTREAM PRIMARY CARE FREQUENTLY ASKED QUESTIONS SECTION ONE: SECTION TWO: Determining Patient of Aboriginal and Torres Strait Island Descent. PIP Indigenous

More information

Submission to the Senate Standing Committee on Community Affairs

Submission to the Senate Standing Committee on Community Affairs Submission to the Senate Standing Committee on Community Affairs Inquiry into Hearing Health in Australia February 2010 1 About NSA National Seniors Australia (NSA) is the largest organisation representing

More information

Arthritis Foundation Position Statement on Biosimilar Substitution

Arthritis Foundation Position Statement on Biosimilar Substitution Arthritis Foundation Position Statement on Biosimilar Substitution The Affordable Care Act creates a regulatory pathway for the approval of a new generation of biologic medications called biosimilars.

More information

BARACK OBAMA S PLAN FOR A HEALTHY AMERICA:

BARACK OBAMA S PLAN FOR A HEALTHY AMERICA: BARACK OBAMA S PLAN FOR A HEALTHY AMERICA: Lowering health care costs and ensuring affordable, high-quality health care for all The U.S. spends $2 trillion on health care every year, and offers the best

More information

6.1 Summary and implications of findings

6.1 Summary and implications of findings 6 Conclusions Key points Many people for whom asthma management guidelines would recommend using inhaled corticosteroids are not using them regularly. At the same time, most inhaled corticosteroids that

More information

Personally Controlled Electronic Health Record System: Legislation Issues Paper

Personally Controlled Electronic Health Record System: Legislation Issues Paper Submission Personally Controlled Electronic Health Record System: Legislation Issues Paper August 2011 beyondblue: the national depression initiative PO Box 6100 HAWTHORN WEST VIC 3122 Tel: (03) 9810 6100

More information

Policy Paper: Accessible allied health primary care services for all Australians

Policy Paper: Accessible allied health primary care services for all Australians Policy Paper: Accessible allied health primary care services for all Australians March 2013 Contents Contents... 2 AHPA s call to action... 3 Position Statement... 4 Background... 6 Healthier Australians

More information

Health Spending in the Bush

Health Spending in the Bush Health Spending in the Bush An analysis of the geographic distribution of the private health insurance rebate Richard Denniss Introduction September 2003 Shortages of medical services in rural and regional

More information

Primary Health Care Reform in Australia National Health and Hospital Reform Commission Professor Justin Beilby University of Adelaide

Primary Health Care Reform in Australia National Health and Hospital Reform Commission Professor Justin Beilby University of Adelaide Primary Health Care Reform in Australia National Health and Hospital Reform Commission Professor Justin Beilby University of Adelaide } Fragmentation between Commonwealth and state funded services }

More information

Health care in Australia

Health care in Australia Health care in Australia Stephen R. Leeder MD Professor of Public Health and Community Medicine Director The Menzies Centre for Health Policy The University of Sydney March 26th 2012 Australia at a glance

More information

Submission on the National Registration and Accreditation Scheme Partially Regulated Occupations

Submission on the National Registration and Accreditation Scheme Partially Regulated Occupations Submission on the National Registration and Accreditation Scheme Partially Regulated Occupations The Australian Medical Council Limited (AMC) welcomes the opportunity to make a submission to the Practitioner

More information

3.2 Staying Independent: Finances Income Security, Work, Concessions and Financial Assistance

3.2 Staying Independent: Finances Income Security, Work, Concessions and Financial Assistance 3.2 Staying Independent: Finances Income Security, Work, Concessions and Financial Assistance The following information is a guide to the various forms of assistance that can help people with PSP and their

More information

4 th December 2015. Private Health Insurance Consultations 2015-16 Department of Health. Via email: PHIconsultations2015-16@health.gov.

4 th December 2015. Private Health Insurance Consultations 2015-16 Department of Health. Via email: PHIconsultations2015-16@health.gov. 4 th December 2015 Private Health Insurance Consultations 2015-16 Department of Health Via email: PHIconsultations2015-16@health.gov.au Re: Private Health Insurance Consultations 2015-16 Dear Private Health

More information

White Paper. Medicare Part D Improves the Economic Well-Being of Low Income Seniors

White Paper. Medicare Part D Improves the Economic Well-Being of Low Income Seniors White Paper Medicare Part D Improves the Economic Well-Being of Low Income Seniors Kathleen Foley, PhD Barbara H. Johnson, MA February 2012 Table of Contents Executive Summary....................... 1

More information

Centrelink payments and entitlements

Centrelink payments and entitlements Centrelink payments and entitlements There are many different Centrelink payments and entitlements available and we have outlined the criteria for the most common allowances, pensions and benefit cards.

More information

Submission to the Productivity Commission Inquiry into Childcare and Early Childhood Learning

Submission to the Productivity Commission Inquiry into Childcare and Early Childhood Learning Submission to the Productivity Commission Inquiry into The National Disability Strategy 1, endorsed by Commonwealth, State and Territory governments in 2011, is a ten-year commitment to a unified, national

More information

Policy Paper: Enhancing aged care services through allied health

Policy Paper: Enhancing aged care services through allied health Policy Paper: Enhancing aged care services through allied health March 2013 Contents Contents... 2 AHPA s call to action... 3 Position Statement... 4 Background... 6 Enhancing outcomes for older Australians...

More information

Number 2 2005 DESIGNING HEALTH FINANCING SYSTEMS TO REDUCE CATASTROPHIC HEALTH EXPENDITURE

Number 2 2005 DESIGNING HEALTH FINANCING SYSTEMS TO REDUCE CATASTROPHIC HEALTH EXPENDITURE Number 2 2005 DESIGNING HEALTH FINANCING SYSTEMS TO REDUCE CATASTROPHIC HEALTH EXPENDITURE Every year, more than 150 million individuals in 44 million households face financial catastrophe as a direct

More information

Making Sense of the MBS

Making Sense of the MBS Making Sense of the MBS An Overview Introduction This fact sheet provides an overview of the Medicare Benefits Schedule (MBS). The fact sheet is intended for headspace centre managers, to assist them with

More information

Non-Group Health Insurance: Many Insured Americans with High Out-of-Pocket Costs Forgo Needed Health Care

Non-Group Health Insurance: Many Insured Americans with High Out-of-Pocket Costs Forgo Needed Health Care Affordable Care Act Non-Group Health Insurance: Many Insured Americans with High Out-of-Pocket Costs Forgo Needed Health Care SPECIAL REPORT / MAY 2015 WWW.FAMILIESUSA.ORG Executive Summary Since its passage

More information

Submission to the Senate inquiry into out-of-pocket costs in Australian healthcare

Submission to the Senate inquiry into out-of-pocket costs in Australian healthcare MULTIPLE SCLEROSIS AUSTRALIA Submission to the Senate inquiry into out-of-pocket costs in Australian healthcare 15 May 2014 Debra Cerasa Chief Executive Officer Multiple Sclerosis Australia ABN 51 008

More information

The Australian Healthcare System

The Australian Healthcare System The Australian Healthcare System Professor Richard Osborne, BSc, PhD Chair of Public Health Deakin University Research that informs this presentation Chronic disease self-management Evaluation methods

More information

Key Priority Area 1: Key Direction for Change

Key Priority Area 1: Key Direction for Change Key Priority Areas Key Priority Area 1: Improving access and reducing inequity Key Direction for Change Primary health care is delivered through an integrated service system which provides more uniform

More information

Centrelink payments and entitlements and work bonus

Centrelink payments and entitlements and work bonus Centrelink payments and entitlements and work bonus 1 July 2014 While there are many different Centrelink payments and entitlements available, in this flyer we have outlined the criteria for the most common

More information

Shortchanged by Medical Debt

Shortchanged by Medical Debt From Families USA November 2009 Shortchanged by Medical Debt In the face of rising health care costs, families across the country are paying higher and higher health insurance premiums and out-of-pocket

More information

PRESCRIPTION DRUG COSTS FOR MEDICARE BENEFICIARIES: COVERAGE AND HEALTH STATUS MATTER

PRESCRIPTION DRUG COSTS FOR MEDICARE BENEFICIARIES: COVERAGE AND HEALTH STATUS MATTER PRESCRIPTION DRUG COSTS FOR MEDICARE BENEFICIARIES: COVERAGE AND HEALTH STATUS MATTER Bruce Stuart, Dennis Shea, and Becky Briesacher January 2000 ISSUE BRIEF How many Medicare beneficiaries lack prescription

More information

Paying for Health Care in Retirement

Paying for Health Care in Retirement Paying for Health Care in Retirement One of the complications in retirement planning is the need to make predictions what will our future living expenses be, and what about inflation rates? A big mistake

More information

2003 FIRST MINISTERS ACCORD

2003 FIRST MINISTERS ACCORD 2003 FIRST MINISTERS ACCORD ON HEALTH CARE RENEWAL 1 In September 2000, First Ministers agreed on a vision, principles and action plan for health system renewal. Building from this agreement, all governments

More information

Self Care in New Zealand

Self Care in New Zealand Self Care in New Zealand A roadmap toward greater personal responsibility in managing health Prepared by the New Zealand Self Medication Industry Association. July 2009 What is Self Care? Self Care describes

More information

Medicare Beneficiaries Out-of-Pocket Spending for Health Care

Medicare Beneficiaries Out-of-Pocket Spending for Health Care Insight on the Issues OCTOBER 2015 Beneficiaries Out-of-Pocket Spending for Health Care Claire Noel-Miller, MPA, PhD AARP Public Policy Institute Half of all beneficiaries in the fee-for-service program

More information

North Carolina Institute for Early Childhood Professional Development HEALTH INSURANCE: INFORMATION AND TIPS FOR CHILD CARE EMPLOYEES AND EMPLOYERS

North Carolina Institute for Early Childhood Professional Development HEALTH INSURANCE: INFORMATION AND TIPS FOR CHILD CARE EMPLOYEES AND EMPLOYERS North Carolina Institute for Early Childhood Professional Development HEALTH INSURANCE: INFORMATION AND TIPS FOR CHILD CARE EMPLOYEES AND EMPLOYERS Often times in the early care and education field we

More information

Managing Medicines Access Programs. Guiding principles for the governance of Medicines Access Programs in Australian hospitals

Managing Medicines Access Programs. Guiding principles for the governance of Medicines Access Programs in Australian hospitals Managing Medicines Access Programs Guiding principles for the governance of Medicines Access Programs in Australian hospitals May 2015 Council of Australian Therapeutic Advisory Groups Address: c/ - NSW

More information

Access to Prescription Drugs in New Brunswick

Access to Prescription Drugs in New Brunswick Access to Prescription Drugs in New Brunswick Discussion Paper Department of Health June 2015 Department of Health Published by: Department of Health Government of New Brunswick P. O. Box 5100 Fredericton,

More information

Stable and Secure Health Care for America: The Benefits of Health Insurance Reform: Table of Contents

Stable and Secure Health Care for America: The Benefits of Health Insurance Reform: Table of Contents Stable and Secure Health Care for America: The Benefits of Health Insurance Reform: Table of Contents HEALTH INSURANCE CONSUMER PROTECTIONS... 1 STABLE AND SECURE HEALTH CARE FOR AMERICA... 2 HEALTH INSURANCE

More information

Submission to the Private Health Insurance

Submission to the Private Health Insurance Submission to the Private Health Insurance Consultations 2015-16 The AMA welcomes the opportunity to provide a submission to the Private Health Insurance Consultations 2015-16. The Review will no doubt

More information

NATIONAL HEALTHCARE AGREEMENT 2012

NATIONAL HEALTHCARE AGREEMENT 2012 NATIONAL HEALTHCARE AGREEMENT 2012 Council of Australian Governments An agreement between the Commonwealth of Australia and the States and Territories, being: t t t t t t t t the State of New South Wales;

More information

The Commonwealth Fund 2001 International Health Policy Survey shows

The Commonwealth Fund 2001 International Health Policy Survey shows May 2002 Issue Brief Comparison of Health Care System Views and Experiences in Five Nations, 2001 Findings from The Commonwealth Fund 2001 International Health Policy Survey Cathy Schoen, Robert J. Blendon,

More information

Tracking Report. Medical Bill Problems Steady for U.S. Families, 2007-2010 MEDICAL BILL PROBLEMS STABILIZE AS CONSUMERS CUT CARE

Tracking Report. Medical Bill Problems Steady for U.S. Families, 2007-2010 MEDICAL BILL PROBLEMS STABILIZE AS CONSUMERS CUT CARE I N S U R A N C E C O V E R A G E & C O S T S Tracking Report RESULTS FROM THE HEALTH TRACKING HOUSEHOLD SURVEY NO. 28 DECEMBER 2011 Medical Bill Problems Steady for U.S. Families, 2007-2010 By Anna Sommers

More information

INDIGENOUS CHRONIC DISEASE PACKAGE CARE COORDINATION AND SUPPLEMENTARY SERVICES PROGRAM GUIDELINES

INDIGENOUS CHRONIC DISEASE PACKAGE CARE COORDINATION AND SUPPLEMENTARY SERVICES PROGRAM GUIDELINES CLOSING THE GAP tackling disease INDIGENOUS CHRONIC DISEASE PACKAGE CARE COORDINATION AND SUPPLEMENTARY SERVICES PROGRAM GUIDELINES November 2012 CONTENTS 1. Introduction... 3 Program Context... 3 Service

More information

Health Care Reform: Major Provisions and Bargaining Strategies for Retirees

Health Care Reform: Major Provisions and Bargaining Strategies for Retirees Health Care Reform: Major Provisions and Bargaining Strategies for Retirees MEDICARE Summary of Benefit: Medicare is the federal government s healthcare program for the elderly and certain disabled individuals.

More information

Towards a National Primary Health Care Strategy. A Discussion Paper from the Australian Government

Towards a National Primary Health Care Strategy. A Discussion Paper from the Australian Government Towards a National Primary Health Care Strategy A Discussion Paper from the Australian Government Towards a National Primary Health Care Strategy A Discussion Paper from the Australian Government Towards

More information

Informational Series. Community TM. Glossary of Health Insurance & Medical Terminology. (855) 624-6463 HealthOptions.

Informational Series. Community TM. Glossary of Health Insurance & Medical Terminology. (855) 624-6463 HealthOptions. Informational Series Glossary of Health Insurance & Medical Terminology How to use this glossary This glossary has many commonly used terms, but isn t a full list. These glossary terms and definitions

More information

Access to Medicines within the State Health Insurance Program for Pension Age Population in Georgia (country)

Access to Medicines within the State Health Insurance Program for Pension Age Population in Georgia (country) Access to Medicines within the State Health Insurance Program for Pension Age Population in Georgia (country) Tengiz Verulava (Ilia State University, Georgia), Leila Karimi (La Trobe University, Australia)

More information

Commonwealth Government announcement on dental reform ACOSS briefing and analysis, September 2012

Commonwealth Government announcement on dental reform ACOSS briefing and analysis, September 2012 Commonwealth Government announcement on dental reform, September 2012 Overview On 29 August the Australian Government and the Greens announced an agreement to a major reform of access to dental services

More information

Consultation on Re-Building Health Care Together. Brief submitted by The New Brunswick Nurses Union

Consultation on Re-Building Health Care Together. Brief submitted by The New Brunswick Nurses Union Consultation on Re-Building Health Care Together Brief submitted by The New Brunswick Nurses Union July 2012 Introduction The New Brunswick Nurses Union (NBNU) is a labour organization, representing over

More information

A national program to address equity of access for Australians requiring Home Enteral Nutrition

A national program to address equity of access for Australians requiring Home Enteral Nutrition A national program to address equity of access for Australians requiring Home Enteral Nutrition Pre-Budget Submission 2013-2014 Dietitians Association of Australia Contents Recommendation 4 Area of concern

More information

Australia s primary health care system: Focussing on prevention & management of disease

Australia s primary health care system: Focussing on prevention & management of disease Australia s primary health care system: Focussing on prevention & management of disease Lou Andreatta PSM Assistant Secretary, Primary Care Financing Branch Australian Department of Health and Ageing Recife,

More information

Access to Health Services

Access to Health Services Ah Access to Health Services Access to Health Services HP 2020 Goal Improve access to comprehensive, quality health care services. HP 2020 Objectives Increase the proportion of persons with a usual primary

More information

Summary of new Medicare Benefits Schedule (MBS) item numbers: general practice and allied health. Updated April 2013

Summary of new Medicare Benefits Schedule (MBS) item numbers: general practice and allied health. Updated April 2013 Summary of new Medicare Benefits Schedule (MBS) item numbers: general practice and allied health Updated April 2013 If you would like to receive this publication in an accessible format please phone (03)

More information

19 September 2014 Senate Select Committee on Health PO Box 6100 Parliament House Canberra ACT 2600 health.sen@aph.gov.au

19 September 2014 Senate Select Committee on Health PO Box 6100 Parliament House Canberra ACT 2600 health.sen@aph.gov.au 19 September 2014 Senate Select Committee on Health PO Box 6100 Parliament House Canberra ACT 2600 health.sen@aph.gov.au Thank you for the opportunity to provide a submission to the Senate Select Committee

More information

Submission to the National Health and Hospitals Reform Commission (nhhrc).

Submission to the National Health and Hospitals Reform Commission (nhhrc). Submission to the National Health and Hospitals Reform Commission (nhhrc). A New Health Savings Based System for Australia. A new health savings based system is proposed based on the best aspects of the

More information

HEALTH PREFACE. Introduction. Scope of the sector

HEALTH PREFACE. Introduction. Scope of the sector HEALTH PREFACE Introduction Government and non-government sectors provide a range of services including general practitioners, hospitals, nursing homes and community health services to support and promote

More information

Achieving Excellence in Canada s Health Care System: Opportunities for Federal Leadership and Collaborative Action

Achieving Excellence in Canada s Health Care System: Opportunities for Federal Leadership and Collaborative Action Achieving Excellence in Canada s Health Care System: Opportunities for Federal Leadership and Collaborative Action Brief Submitted to the House of Commons Standing Committee on Finance August 2013 EXECUTIVE

More information

Things you need to know about Medicare.

Things you need to know about Medicare. Things you need to know about Medicare. 1 2 3 1OPTION Original Medicare We re here to help. Approaching 65 is an important milestone in life, and becoming eligible for Medicare is part of that. Whether

More information

PRIORITY HEALTH CONCERN LACK OF ACCESS TO PRIMARY & PREVENTATIVE HEALTH CARE

PRIORITY HEALTH CONCERN LACK OF ACCESS TO PRIMARY & PREVENTATIVE HEALTH CARE LACK OF ACCESS TO PRIMARY & Knox County Community Health Improvement Plan A Product of the Knox County Healthy Communities Project 2005-2006 Ideally, all Knox County residents should enjoy access to quality,

More information

Chapter 8: Just in Case Additional Material

Chapter 8: Just in Case Additional Material Chapter 8: Just in Case Additional Material Here I go into detail about Medicare, Medicare Advantage (MA) plans, and Medigap plans. What about Medicare? Medicare is a federal health insurance program for

More information

Access to Community Pharmacy Services in Rural/ Remote Australia

Access to Community Pharmacy Services in Rural/ Remote Australia Access to Community Pharmacy Services in Rural/ Remote Australia Position The Pharmacy Guild of Australia believes that the standard of health care for rural/remote areas should be equal to the standards

More information

Submission to the Medicare Benefits Schedule Review Taskforce Consultation. 9 November 2015. 1 P age

Submission to the Medicare Benefits Schedule Review Taskforce Consultation. 9 November 2015. 1 P age Submission to the Medicare Benefits Schedule Review Taskforce Consultation 9 November 2015 1 P age Introduction The George Institute for Global Health is working to improve the health of millions of people

More information

While Congress is focusing on health insurance for low-income children, this survey highlights the vulnerability of low-income adults as well.

While Congress is focusing on health insurance for low-income children, this survey highlights the vulnerability of low-income adults as well. Insurance Matters For Low-Income Adults: Results From A Five-State Survey While Congress is focusing on health insurance for low-income children, this survey highlights the vulnerability of low-income

More information

State Pharmacy Assistance Programs vs. Medicare Prescription Drug Plans:

State Pharmacy Assistance Programs vs. Medicare Prescription Drug Plans: State Pharmacy Assistance Programs vs. Medicare Prescription Drug Plans: How Do They Contain Rising Costs? By Sarah Goodell, Jack Hoadley, Ellen O Brien, and Claudia Williams* October 2005 This policy

More information

Thank you for the opportunity to comment on the terms of reference for the inquiry into the out-ofpocket costs in Australian healthcare.

Thank you for the opportunity to comment on the terms of reference for the inquiry into the out-ofpocket costs in Australian healthcare. 9 May 2014 Our ref: 140506-MR MATT Mr Matt Crawshaw Secretary Community Affairs References Committee (Committee) Via email: community.affairs.sen@aph.gov.au Dear Mr Crawshaw Re: Inquiry into the out-of-pocket

More information

Office ID Location: City State Date / / PRIMARY CARE SURVEY

Office ID Location: City State Date / / PRIMARY CARE SURVEY A. Organizational Characteristics PRIMARY CARE SURVEY We want to learn more about the general features of your office. A1. What health-related services does your office provide (check all that apply)?

More information

Principles on Health Care Reform

Principles on Health Care Reform American Heart Association Principles on Health Care Reform The American Heart Association has a longstanding commitment to approaching health care reform from the patient s perspective. This focus including

More information

Cost of Living Update. No.9, February 2012

Cost of Living Update. No.9, February 2012 Cost of Living Update No.9, February 2012 SACOSS Cost of Living Update No. 9, February 2012 ISSN 1836-5248 (Print) ISSN 1836-5256 (Online) First published in November 2012 by the South Australian Council

More information

Use of the Coat of Arms The terms under which the Coat of Arms can be used are set out on the It s an Honour website (see www.itsanhonour.gov.

Use of the Coat of Arms The terms under which the Coat of Arms can be used are set out on the It s an Honour website (see www.itsanhonour.gov. Health 13 May 2014 Commonwealth of Australia 2014 ISBN 978-0-642-74982-6 This publication is available for your use under a Creative Commons Attribution 3.0 Australia licence, with the exception of the

More information

Commissioning Policy (EMSCGP005V2) Defining the boundaries between NHS and Private Healthcare

Commissioning Policy (EMSCGP005V2) Defining the boundaries between NHS and Private Healthcare Commissioning Policy (EMSCGP005V2) Defining the boundaries between NHS and Private Healthcare Although Primary Care Trusts (PCTs) and East Midlands Specialised Commissioning Group (EMSCG) were abolished

More information

to inquire and report on health policy, administration and expenditure.

to inquire and report on health policy, administration and expenditure. Submission to the Senate Select Committee into Health to inquire and report on health policy, administration and expenditure. September 2014 Health policy, administration and expenditure 1 INTRODUCTION

More information

National Health Insurance Policy 2013

National Health Insurance Policy 2013 National Health Insurance Policy 2013 1. Background The Interim Constitution of Nepal 2007 provides for free basic health care as a fundamental right of citizens. Accordingly, the Government of Nepal has

More information

Optometry Australia submission to the Commonwealth s Private Health insurance Consultations

Optometry Australia submission to the Commonwealth s Private Health insurance Consultations Optometry Australia submission to the Commonwealth s Private Health insurance Consultations Optometry Australia welcomes the opportunity to input to the Commonwealth s review of Private Health Insurance.

More information

14 th Annual National Report Card on Health Care. Embargoed until August 18, 2014 at 12:01 am EDT

14 th Annual National Report Card on Health Care. Embargoed until August 18, 2014 at 12:01 am EDT 14 th Annual National Report Card on Health Care Embargoed until August 18, 2014 at 12:01 am EDT National Report on Heath Care: Seniors Health Issues and the Impact of an Ageing Population August 2014

More information

Contents. What is an intergenerational report?

Contents. What is an intergenerational report? What is an intergenerational report? An intergenerational report assesses the long term sustainability of Commonwealth finances. It examines the impact of current policies and trends, including population

More information

Consultation: Two proposals for registered nurse prescribing

Consultation: Two proposals for registered nurse prescribing Consultation: Two proposals for registered nurse prescribing Submission Form Please read and refer to the consultation document Two proposals for registered nurse prescribing available on the Nursing Council

More information

Health care costs in retirement

Health care costs in retirement NATIONWIDE INSTITUTE SM Health care costs in retirement Health care costs in retirement Getting to the heart of the matter Health care It will be one of your biggest expenses in retirement. Yet many people

More information

The Burden of Out-of-Pocket Costs for Canadians with Diabetes

The Burden of Out-of-Pocket Costs for Canadians with Diabetes The Burden of Out-of-Pocket Costs for Canadians with Diabetes The Issue: Government coverage of diabetes medications, devices and supplies varies across jurisdictions, leaving some costs for these supports

More information

Byte from BEACH. No: 2014;3

Byte from BEACH. No: 2014;3 Family Medicine Research Centre Sydney School of Public Health July 2014 Byte from BEACH. No: 2014;3 Estimated impact of proposed GP, pathology and imaging copayments for Medicare services, and the increased

More information

Programs. Summary of State Programs and Laws Highlighted in Faces of Maryland s Newly Insured. Medical Assistance for Families (SB 6)

Programs. Summary of State Programs and Laws Highlighted in Faces of Maryland s Newly Insured. Medical Assistance for Families (SB 6) Programs Summary of State Programs and Laws Highlighted in Faces of Maryland s Newly Insured Medical Assistance for Families (SB 6) Medical Assistance for Families provides full health care insurance to

More information

I. INFORMATION ABOUT THE DEMONSTRATION

I. INFORMATION ABOUT THE DEMONSTRATION EVALUATION DESIGN FOR THE WISCONSIN SENIORCARE SECTION 1115 PHARMACEUTICAL BENEFIT DEMONSTRATION I. INFORMATION ABOUT THE DEMONSTRATION This Evaluation Design is for project number 11-W-00149/5, the Wisconsin

More information

Factsheet IS160 Overview of Cards Available to Veterans and Their Dependants

Factsheet IS160 Overview of Cards Available to Veterans and Their Dependants and Their Dependants Purpose This Factsheet provides an overview of the various cards that are available to veterans, former members of the Australian Defence Force (ADF) and their dependants, either through

More information