Evaluation of the COAG Section 19(2) Exemptions Initiative – Improving Access to Primary Care in Rural and Remote Areas
In 2006–2007 the Council of Australian Governments (COAG) introduced the Section 19(2) Exemptions Initiative – Improving Access to Primary Care in Rural and Remote Areas Initiative (the Section 19(2) Initiative), which enabled non-admitted and non-referred professional services at specified locations to be claimed under Medicare when also funded through a State or Territory.
The Australian Government Department of Health (the Department) engaged HMA to
‘undertake a robust review of the COAG Section 19(2) Exemptions Initiative – Improving Access to Primary Care in Rural and Remote Areas – to determine how the Initiative achieves its objectives’
Evaluation of the Section 19(2) Initiative will address the following evaluation questions:
The review will be undertaken in the following eight project stages:
Stage 1: Project planning
Stage 2: Situation analysis
Stage 3: Evaluation plan
Stage 4: Data collection ‒ HMA will collect a range of qualitative and quantitative data via surveys and interviews conducted with relevant stakeholders to gather feedback on the effectiveness of the Section 19(2) Initiative from a range of stakeholder perspectives.
Stage 5: Case studies ‒ HMA will investigate the impact of the Section 19(2) Initiative on different communities by conducting a series of ten case studies at selected sites to gain an in-depth understanding of how well sites are able to meet the objectives of the Initiative and identify barriers to future success of the Initiative.
Stage 6: Data analysis
Stage 7: Information synthesis
Stage 8: Preparation of the final report
The project commenced in December 2020 and is due to be completed in October 2021.
Review of the Radiation Oncology Health Program Grant Scheme– Australian Government Department of Health
The Radiation Oncology Health Program Grant (ROHPG) provides a contribution to the capital funding of high-cost radiotherapy equipment (i.e. linear accelerators) to ensure equitable access to radiotherapy services across Australia. Given the changing context of radiotherapy in Australia, the Australian Government Department of Health engaged HMA to assess the effectiveness of the ROHPG Scheme against the objectives of the program, including the impact of revised arrangements introduced in 2017. Key tasks included:
The project commenced in August 2020 and was completed in December 2020.
Preliminary Evaluation of the Community Nursing Program (including assessment of fee schedule) – Department of Veterans’ Affairs
The Department of Veterans’ Affairs (DVA) purchases a wide range of health services for entitled persons (eligible veterans and/or their spouse) through its Community Nursing Program (CNP). The program aims to keep entitled persons living independently in the community and reduce early admission to hospital.
In response to health policy changes and the introduction of new state and federally funded community programs, DVA engaged HMA to conduct a preliminary evaluation of the CNP. The preliminary evaluation included assessment of the needs of clients accessing the service, how well the needs are met, how the CNP contributes to desired client outcomes, and a desktop review of current fee structure compared to market value. Key tasks included:
This project was completed in February 2019.