Heads Of Agreement On Public Hospital Funding

Bilateral agreement on Commonwealth minimum funding for public hospital services On 29 May, the Council of Australian Governments (COAG) approved several amendments to the National Health Reform Agreement (NHRA), which will enter into force on 1 July 2020. Compliance with NHRA conditions is critical for public health facilities seeking access to Medicare discounts for private health services at those facilities. The amendments include strengthening the monitoring and notification of rights to private services in public hospitals. In February 2018, COAG drew up an agreement on new public hospital funding schemes for the period 2020/21-2024/25. As part of these agreements, coAG has negotiated a new addition to the NHRA that will come into effect on 1 July 2020 (new addendum). An external review of the new addendum will be completed by December 2023. While states and territories are system managers of their public hospitals, the Commonwealth contributes significantly to the delivery of public hospital services. The new addition requires that “authorized persons have the choice to benefit free of charge from public hospital services as public patients” and are no longer linked to the types of services “currently provided by hospitals or that have been provided historically”. It is likely that this amendment will address previous concerns about the nature of the services provided, given the historical provision of services in hospitals. iv. Commonwealth continues to focus on primary care reforms to improve patient outcomes and reduce avoidable hospitalizations The Commonwealth is committed to advising states on any changes to these rules affecting public hospital practices.

It is recognised that changes to data provision requirements should prevent excessive additional administrative burdens on public hospitals. According to the rules, private insurers cannot ask public hospitals for certification documents beyond those prescribed by the National Private Patient Hospital Hospital, nor delay or refuse payment of fees for legitimate hospital care. .

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