Private patients hit hard as health funding talks stall

By Our Reporter
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Representational Image by Halcyon Marine Healthcare Systems from Pixabay

The Royal Australasian College of Surgeons (RACS) has issued a stark warning as patients risk being caught in the crossfire of a private health funding dispute. With negotiations stalled between Healthscope, Australia’s sole national private hospital operator, and leading private health funds, RACS is calling for an urgent return to the table to prevent out-of-pocket fees that could deter patients from vital procedures.

From 26 November 2024, Healthscope plans to introduce an additional charge for Bupa and Australian Health Service Alliance members across its 38 hospitals, following a breakdown in discussions with these private health funds. This move is expected to bring about wide-reaching effects for patients and surgeons nationwide.

RACS President, Associate Professor Kerin Fielding, described the outcome as troubling amid the ongoing cost-of-living crisis facing Australians. “This could result in rising healthcare costs that may force patients to delay or even cancel their surgeries,” she said. “There’s a risk of a shift towards the public hospital system, potentially adding even more strain on an already overburdened sector.”

Associate Professor Fielding further emphasised the importance of accessible, high-quality surgical care, without surprise charges that leave patients puzzled about what their insurance premiums actually cover. “Patients are rightly confused as to why an out-of-pocket fee is being added on top of their premiums. They’ve paid for insurance with the understanding that these costs would be covered when they needed surgery,” she noted.

The call from RACS is clear: all parties must come back to the negotiating table to resolve this impasse for the sake of patients, surgeons, and the wider health system. “We urge both sides to resume talks in good faith and reach an agreement that respects the needs of patients, surgeons, and healthcare providers alike, while also addressing the rising costs of delivering quality care,” Fielding added.

Private hospitals form a cornerstone of Australia’s healthcare, easing the load on public facilities and providing timely surgical options. The RACS believes that a viable private sector is crucial for a balanced health system that serves the whole community.

The College remains steadfast in its commitment to an accessible and sustainable healthcare system, advocating for cooperation across the sector to safeguard the long-term interests of Australian patients and their access to essential care.


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