Principles for private health insurance to cover out-of-hospital care
This position statement outlines the Australian Medical Association position on fundamental principles for the establishment and delivery of private health insurer-funded out-of-hospital care.
This position statement builds on the work of the AMA’s October 2023 research report Out-of-home models of care in the private health system, developed by the Research team with input from CPSP.
The purpose is to very clearly articulate the AMA’s requirements for legislative reform to allow for more out-of-hospital care to be funded by private health insurers.
This position statement is important because we are increasingly concerned that private health insurers are developing their own models of out-of-hospital care on their own terms to save money, which they are allowed to do given lack of legislative oversight and public policy design.
