Australian Health Care System Flashcards
Models of funding healthcare:
Bismark model
- Bismark model:
=Payers+ providers = private
=Private insurance plans = financed jointly by employers and employees through payroll deductions
= not for profit
= cost controlled = tight regulation of med services
Models of funding healthcare:
Beveridge model
- healthcare is provided and financed by government, through tax payments
- no medical bills (free)
-medical treatment is a public service - low costs = because gov controls costs
Models of funding healthcare:
The national health insurance model
- providers are private
- payer is a gov. Run insurance program that every citizen pays into
- national insurance collects monthly premiums and pays medical bills
Models of funding healthcare:
Out of pocket model
Only the rich get medical care, poor stay sick.
Australian health care:
Mixed health system
Commonwealth government established policies with advice from the AHMAC (advisory committee)
What funding model dose the state gov have?
Casemix model = funding based on Diagnosis Related Groups (DRGS) or functional measures
What dose the stste government fundm
- Run hospitals
- Psychiatric services
- Community based programs
- 5 yearly Australian health care agreements negotiated btw federal and stat governments
What are the 3 Health Care Coverages?
- Medicare
- PBS
- Private Insurance Reimburements
3 main objectives of Medicare
To fund:
- Medical services
- PBS
- public hospital care
Impact of copaymebts
Lack of equity =
Impacts unfairly on different consumers, depending on their health care needs. People with ongoing chronic conditions often end up recieveinf lower levels of subsidy.
Access =
Deter people from seeking early and preventative care, resulting in higher health care costs over thr long term
What is the Austrmaia Health Performance Framework??
Tool for reporting on health of Australians and performance or healthcare in Australia
