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A Modern and Clinically Appropriate Medicare Benefits Schedule

Financial year
Purpose statement

Ensure better targeted and more effective health care, and provide certainty that the Medicare Benefits Schedule (MBS) remains clinically appropriate, including:

* $125.6 million over 5 years from 2022-23 to improve access to primary health care services and improve clinical practice through amendments to the MBS, including: - $23.6 million to remedy previous changes to MBS orthopaedic items which have impeded patient access to orthopaedic procedures - $18.5 million for testing genetic variants in patients suspected of having either a myeloid or lymphoid haematological malignancy - $16.8 million to introduce a new MBS item for an EndoPredict gene expression profiling test to determine a patient's risk of recurrent breast cancer - $13.1 million to introduce genetic testing for hearing loss in children

* $10.9 million in 2023-24 to support the MBS Continuous Review program to ensure the MBS remains clinically appropriate.

Budget Measure type
Description

The Government will provide $137.2 million over 5 years from 2022-23 to ensure better targeted and more effective health care, and provide certainty that the Medicare Benefits Schedule (MBS) remains clinically appropriate, including: * $125.6 million over 5 years from 2022-23 to improve access to primary health care services and improve clinical practice through amendments to the MBS, including: - $23.6 million to remedy previous changes to MBS orthopaedic items which have impeded patient access to orthopaedic procedures - $18.5 million for testing genetic variants in patients suspected of having either a myeloid or lymphoid haematological malignancy - $16.8 million to introduce a new MBS item for an EndoPredict gene expression profiling test to determine a patient's risk of recurrent breast cancer - $13.1 million to introduce genetic testing for hearing loss in children * $10.9 million in 2023-24 to support the MBS Continuous Review program to ensure the MBS remains clinically appropriate. The Government will also achieve efficiencies of $461.3 million over 5 years from 2022-23, including: * $301.9 million over 3 years from 2024-25 by streamlining and modernising Chronic Disease Management planning items and improving associated regulations from 1 November 2024, consistent with recommendations from the MBS Review Taskforce * $151.7 million over 5 years from 2022-23 by reforming the MBS time-tiered general attendance items for general practice, including: - $250.8 million of efficiencies to introduce a minimum consultation time for Level B items for general practitioners (GPs) to promote consistency in GP billing practices, - $99.1 million to establish a new MBS item for a longer consultation of 60 minutes or more to support improved access and service affordability for patients with chronic conditions and complex needs * $6.8 million over 4 years from 2023-24 to align the MBS with contemporary practice, including: - $3.1 million to introduce testing for the quantification of N-terminal pro B-type natriuretic peptide in patients with systemic sclerosis to assess the risk of pulmonary arterial hypertension - $2.2 million to amend selected MBS Plastic and Reconstructive Surgery items and hospital requirements in line with sector advice, and to ensure patient safety is maintained - $0.8 million to clarify co-claiming restrictions to ensure patients receive the same benefits for the same services, and improve practitioner billing practices * $0.9 million over 4 years from 2023-24 by consolidating the Quality Use of Pathology Program into a redesigned Quality Use of Diagnostics, Therapeutics and Pathology Program from 1 July 2024. Health and Aged Care |

This site is generated from open public information stored in the Finance Knowledge Graph. For more information, please see: About structure.gov.au.