Part 3 of Presentation - MBS Review stakeholder forums October-November 2015

Page last updated: 25 February 2016

PDF version: Part 3 of Presentation - MBS Review Stakeholder Forum November 2015 (PDF 1305 KB)

Slide 1: Agenda item - Discussion and feedback on focus to date

Slide 2: Agenda item - Which cross-committee issues should the Review consider?

Slide 3: We are asking for your detailed input on two of the current questions in our current Consultation Paper

Main topics of the Consultation Paper

  • Vision and terms of reference
  • Survey of Medicare and the MBS: background, utilisation and expenditure
  • Overview of MBS review process
  • Review of MBS legislation and ‘rules’
    • Acts and regulations
    • MBS / public hospital interface
    • Compliance
  • Access to and effective usage of MBS data

Key questions for input today

  • Which cross-committee issues applying to several areas across the MBS should be reviewed?
  • Which issues with specific items should be brought to the attention of the clinical committees and for what reasons?

Participants are invited to provide more comprehensive input into the consultation process. Current round of stakeholder input is due by November 9 Top of page

Slide 4: Today, we would like to focus the group’s input on two actionable themes

Theme
Objective
Cross-committee issues
Identify and examine issues whose implications extend across the Clinical Committees
Specific items
Advance suggestions of items or groups of items requiring attention by Clinical Committee

Slide 5: Examples we have heard from stakeholders

"Lack of rebates for telephone services is limiting for rural and remote consumers"
"Some imaging, i.e. MRI for certain areas, should be restricted to ordering by specialists"
"Allow specialist-to-specialist referrals to last the same duration as GP referrals"
"There are outdated areas where nurses undertake health assessments or other tasks, but are required to have a GP sign these off"

Slide 6: Instructions for Group Discussion on cross-committee issues

  1. Each table will engage in a group discussion on cross-committee issues. Select a participant to report back to the Forum. Use the provided template pages to note your personal feedback, which will be collected at the end of the session
  2. Spend 30 minutes brainstorming and prioritising cross-committee themes and/or improvements to the Rules governing MBS – where should the Principles and Rules Committee focus?
  3. Agree within your group on the top 5 options and report back to the plenary group, including any additional themes the Review should consider

Slide 7: Exercise: which cross-committee issues should be prioritised?

Please discuss these cross-committee issues with your group and rank the top 5 which seem most important to address. Feel free to add additional suggestions of your own on the next page.

Cross-committee issues suggested by stakeholders
Priority
Transparency surrounding usage, variation and fees charged  
Item descriptors (e.g., elements to describe and regulate services)  
Frequency of MBS item reviews  
Complementing the MBS with outcomes-based reimbursement  
Mutually exclusive items (i.e. items that should not be claimed together)  
Factoring in the costs of delivering a service  
The range of eligible providers for a given service  
Payments and/or exemptions from select requirements for providers in rural areas  
Referrals (e.g. time limits, etc.)  

Slide 8: Exercise: which other cross-committee issues should be considered?

Based on your experience and group discussion, please add additional suggestions for consideration beyond the current list.

Additional cross-committee issues for the Principles and Rules Committee to consider.Top of page

Slide 9: Agenda item - Break

Slide 10: Agenda item - Which issues with specific items should the Clinical Committees examine?

Slide 11: Today, we would like to focus the group’s input on two actionable themes

Theme
Objective
Cross-committee issues
Identify and examine issues whose implications extend across the Clinical Committees
Specific items
Advance suggestions of items or groups of items requiring attention by Clinical Committee

Slide 12: Examples we have heard from stakeholders

"There is excessive ordering of electrolytes and LFT's as part of ‘routine antenatal blood tests"
"Intravenous pyelograms and barium meals and enemas have been superseded but still attract a Medicare rebate"
"On psychology item caps: ‘10 sessions just aren't enough for some people’ "
"Item 715 does not align with the Government’s own ‘Recommendations for Clinical Care Guidelines on the Management of Otitis Media in Aboriginal and Torres Strait Islander Populations’ "

Slide 13: Instructions for Group Discussion on specific items

  1. Take five minutes to note down your thoughts on the template: which item changes would you recommend to a Clinical Committee to improve patient outcomes and benefit the health system?
  2. Spend 10 minutes discussing potential item changes within your table, capturing key ideas and questions on the provided template
  3. Take five minutes at the end to debrief your table’s top 3-5 insights. The final 10 minutes of this section will be spent in plenary discussion

Slide 14: Exercise: which MBS items require review?

Blank template to suggest items or groups of items which you would advise Clinical Committees to focus on, and describe why. Discuss specific changes in your group, then share your thoughts with the forum

Provide the following information: item name or number and why it needs to be reviewed (e.g. obsolete, low-value etc.)

Slide 15: Who would you like to nominate for the Clinical Committees?

Provide name of nominee, organisation and specialty/expertise.

Also take a moment to nominate yourself or colleagues to Clinical Committees using the templates provided on your tableTop of page

Nominations would be particularly welcome for 7 areas:

  • Allergy and immunology
  • Anaesthesia
  • Dermatology
  • Endocrinology
  • Optometry
  • Oral and maxillofacial surgery
  • Renal medicine

Slide 16: Agenda item - Open Q&A

Slide 17: Agenda item - Wrap-up and opportunities for further input

Slide 18: Our continuous dialogue with stakeholders is happening via six channels


Desciption of image follows

Text version of the six channels of dialogue with stakeholders

    Top of page
  1. The ongoing Consultation Paper is the best resource to learn about open questions and the Review’s approach. Emerging recommendations will also be communicated for additional consultation prior to adoption.
  2. The Consultation Hub allows all stakeholders are invited to contribute input into the consultation process via this online tool. Feedback is channeled to the appropriate Committee.
  3. Clinical Committees and the Review Team are holding ongoing dialogues with medical Colleges, professional organisations and colleagues.
  4. Stakeholder Forums help to shape the direction of the Review. Feedback will be integrated with online comments and shared with relevant Clinical Committees.
  5. The Review team shares regular newsletters and updates via a central distribution list.
  6. The MBS Review website contains all relevant information about the program, including outcomes of these Forums.

Slide 19: By providing input via the Consultation Hub, you can subsequently be kept involved throughout the Review process


screen shot ot the Department of Health Consultation Hub where your can be kept involved throughout the Review process

Department of Health Consultation Hub where you can be kept involved throughout the Review process

Slide 20: Contact details

Email: MBS Reviews
Website: Medicare Benefits Schedule (MBS) Review Taskforce Consultation PaperTop of page