The Prostheses List (PL) was introduced in 1985 to support delivery of surgical services in the private sector. Since this time, the PL has been the subject of numerous reviews and modifications aimed at constraining the cost of prothesis for private health insurers. In the 2021‒22 Federal Budget, the Government committed $22 million over four years to improve the PL and its arrangements. The Department of Health (the Department) has engaged Healthcare Management Advisors (HMA) to:
‘develop a project plan to support the implementation of the Prostheses List reforms which aim to better relate the Prostheses List Benefit amounts to market values by aligning private health benefits and public hospital prices.’
Key tasks included:
This project commenced in July 2021 and was completed in August 2021.