Log in with your email address username.


How to pay for health?

Government funding reform options (as set out in Department of Prime Minister and Cabinet’s Reform of the Federation 2015 Discussion Paper)

Option 1

States and territories handed full responsibility for public hospitals – the Commonwealth would withdraw all funding

Option 2

Hospital benefit scheme

The Commonwealth would establish an MBS-style benefit scheme to fund a proportion of the cost of each hospital procedure, with the states asked to cover any gap between rebate and service cost.

Option 3

Individual care packages

The Commonwealth and states jointly fund individualised care packages for patients with, or at risk of developing, chronic or complex conditions.

Option 4

Regional Purchasing Agencies

The two tiers of government would jointly establish agencies to purchase health services for patients in their catchment areas.

Option 5

National Health Purchasing Agency

Commonwealth-funded agency to commission full suite of services, from primary through to acute, to meet community need.