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Government defers CDM Medicare item changes


Chelsea Heaney


25/09/2024 4:55:58 PM

The concerns of GPs have been listened to, resulting in the Commonwealth delaying chronic disease management funding changes to 1 July next year.

A doctor sits at a desk talking to a patient.
The single GP Chronic Condition Management Plan MBS item won’t come into effect until the start of next financial year.

GPs have breathed a collective sigh of relief after the Federal Government announced it will defer controversial changes to Medicare Benefits Schedule (MBS) items for chronic disease management (CDM) until next year.
 
The Department of Health and Aged Care (DoHAC) revealed late on Wednesday that the initiative’s start date will be pushed back to 1 July 2025, eight months after its original planned date of 1 November this year.
 
‘The additional time will support all practices and providers, including GPs and allied health providers, to be ready for the changes to these important services,’ the DoHAC said.
 
RACGP President Dr Nicole Higgins, who had written to Federal Health Minister Mark Butler about GPs’ concerns, says she is ‘pleased the Government has listened to GPs’, welcoming the delay.
 
‘You spoke, we listened, and you have been heard by Government,’ she told newsGP.
 
The decision comes following significant and mounting pressure from GPs and the RACGP to delay the move, with GPs growing increasingly concerned by the lack of funding details behind the CDM item.
 
As the original 1 November commencement date crept closer, GPs said they would have no option but to pass on costs to patients with chronic conditions, with little to no warning.
 
In a recent poll from newsGP, 69% of 1367 respondents said they would be unable to bulk bill chronic disease patients, if current CDM funding was cut. 
 
GPs said it also prevented their practices from planning for the future, saying there were too many uncertainties.
 
Although all the details are still not locked in, Dr Higgins said the deferral will give time to work with the Government to ensure that GPs and their teams are appropriately remunerated.
 
Dr Higgins said the RACGP had taken the concerns of its members to the Federal Government and sought clarity over exactly how the funding will work moving forward.
 
‘What we do know is the Federal Government wants to encourage more reviews of care plans and reduce the red tape, which we also support,’ she said.
 
‘But we also need to know what the funding will be and to ensure that GPs, practices and our patients are not out of pocket for their chronic disease plans due to underfunding.’
 
Dr Higgins said she now looks forward to working with the Federal Government to ensure there is enough funding for patients living with chronic illness to get the care they need.
 
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bulk billing chronic conditions chronic disease care chronic disease management plan general practice funding MBS MBS items Medicare


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newsGP weekly poll Should the definition of obesity be changed to ‘go beyond BMI’ and add extra diagnostic methods?

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Dr Lisa Gwenyth Beecham   26/09/2024 9:07:06 AM

Great advocacy Nicole Higgins at a time when GPs need to be remunerated to lead MDT approach called for under the Strengthening Medicare roll out!


Dr Angela Maree Roche   26/09/2024 10:47:01 AM

69 % said they would not be able to bulk bill the item number : Bad PR for an upcoming election. Just because it is delayed does not equal there will be a different situation or that chronic disease plans will not be underfunded


Dr Jennifer May Smith   26/09/2024 11:41:46 AM

This is ONLY good news if they actually give us DETAILS with 3 months lead in time, to allow us to ready our practices. Otherwise it is just a 6 month delay to another uncertain future. The changes may well be positive, the issue is we don't know enough with enough time to plan. The reality is we are businesses and a major change in funding requires information so that we can appropriately structure staffing, bookings and costs BEFORE the change comes in. My hope is that there is ongoing advocacy for increased transparency around what changes are with time for GPs to comment rather than the current model of black box changes to which we acquiesce or make ourselves look bad for pushing back against when no details are available.


Dr Paul Michael Coughlan   30/09/2024 8:14:46 AM

Interesting stats on the reduced number of reviews of existing GPMPs coming through.
I wonder what the sample window was?
The Covid pandemic would have been a major factor :- recall chaos.
Also the forced uncoupling of acute and chronic health billing introduced several years ago .
Whats the chances of a chronic disease patient with multiple comorbidities presenting for scheduled review having an acute issue ?
Question : How does one bill cellulitis requiring hospitalization, or an NSTEMI , presenting in a CDM appointment ? Answer : Only one MBS number is acceptable.
That's where the numbers went , - Govt needs to remember there was Care before there were Care Plans.
I suspect previous policy and the pandemic have skewed the stats leading to further poor policy based on the aforesaid skewed stats.