AMA urges Queensland private hospitals and insurers to put the needs of patients first
The Australian Medical Association says the latest contract dispute between private health insurers and private hospitals is more evidence for the need for system reform.
The dispute between UnitingCare Queensland and the Australian Health Service Alliance is just another example of a private health insurer and private hospital group being unable to agree on a new contract and will leave patients caught out unless there is a resolution.
The AMA is urging UnitingCare and AHSA to continue negotiating to strike a deal that puts the needs of patients first, while also delivering a reasonable return for all parties and recognising the rising costs of providing quality care.
AMA President Professor Steve Robson said that doctors are getting fed up with the constant contracting failures and that something needs to change.
“This is yet another example of a private hospital group at loggerheads with private insurers over contracting arrangements that will leave policyholders of more than 20 insurers caught in the middle and potentially facing higher out-of-pocket charges.
“The AMA has been calling for sector-wide reform that ensures the private system delivers value for patients and maintains clinical independence while ensuring the long-term viability of hospitals and insurers and has welcomed the Department of Health and Aged Care’s establishment of a Private Hospital Sector Financial Health Check as an initial step in examining growing concerns about the sector.
“It is critical for all parties to keep patients and clinicians informed, explaining the complex transition arrangements that apply once the current agreement ends.“
Professor Robson said significant reform was needed to ensure the sustainability of the private health system well into the future.
“The AMA is calling for the creation of an independent Private Health System Authority (PHSA) to drive long-term reform and ensure the sector is appropriately regulated and patients get real value for money from their private health insurance,” Professor Robson said.
“APHSA can be a vehicle for meaningful reform, while helping to solve disputes like this one.
“In the meantime, the AMA urges the two parties to reach an agreement for the sake of patients.”
