2011-2012

Outcome 3 Access to Medical Services

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Access to cost-effective medical, practice nursing and allied health services, including through Medicare subsidies for clinically relevant services.

Table 2.3.1: Resource summary - Outcome 3

	Budget 2011-12 $'000	Revised 2011-12 $'000	Additional estimates $'000	Reduced estimates $'000
Program 3.1: Medicare Services
Administered expenses
Ordinary annual services (Bill 1/3)	4,090	4,090	-	-
Special appropriations
Health Insurance Act 1973 -Medical Benefits	16,901,499	17,094,213	192,714	-
Dental Benefits Act 2008	75,306	75,306	-	-
Departmental expenses
Departmental appropriation1	29,605	29,605	-	-
Expenses not requiring appropriation in the budget year2	978	978	-	-
Total for Program 3.1	17,011,478	17,204,192	192,714	-
Program 3.2: Targeted Assistance - Medical
Administered expenses
Ordinary annual services (Bill 1/3)	23,892	24,392	500	-
Departmental expenses
Departmental appropriation1	1,526	1,526	-	-
Expenses not requiring appropriation in the budget year2	50	50	-	-
Total for Program 3.2	25,468	25,968	500	-
Program 3.3: Diagnostic Imaging Services
Administered expenses
Ordinary annual services (Bill 1/3)	4,189	4,189	-	-
Departmental expenses
Departmental appropriation1	2,045	2,045	-	-
Expenses not requiring appropriation in the budget year2	68	68	-	-
Total for Program 3.3	6,302	6,302	-	-
Program 3.4: Pathology Services
Administered expenses
Ordinary annual services (Bill 1/3)	4,347	4,347	-	-
Departmental expenses
Departmental appropriation1	2,312	2,312	-	-
Expenses not requiring appropriation in the budget year2	76	76	-	-
Total for Program 3.4	6,735	6,735	-	-
Program 3.5: Chronic Disease - Radiation Oncology3
Administered expenses
Ordinary annual services (Bill 1/3)	70,856	70,856	-	-
Departmental expenses
Departmental appropriation1	2,008	2,008	-	-
Expenses not requiring appropriation in the budget year2	66	66	-	-
Total for Program 3.5	72,930	72,930	-	-
Outcome 3 totals by appropriation type
Administered expenses
Ordinary annual services (Bill 1/3)	107,374	107,874	500	-
Special appropriations	16,976,805	17,169,519	192,714	-
Departmental expenses
Departmental appropriation1	37,496	37,496	-	-
Expenses not requiring appropriation in the budget year2	1,238	1,238	-	-
Total for Outcome 3	17,122,913	17,316,127	193,214	-

1 - Departmental appropriation combines 'Ordinary annual services (Appropriation Bill No 1)' and 'Revenue from independent sources (s31)'.
2 - "Expenses not requiring appropriation in the Budget year" is made up of depreciation expense, amortisation expense, makegood expense and audit fees.
3 - Budget estimates for this program exclude National Partnership funding paid to state and territory governments by the Treasury as part of the Federal Financial Relations (FFR) framework. National partnerships are listed in Section 2 of the 2011-12 Health and Ageing Portfolio Budget Statements under each program. For budget estimates relating to the National Partnership component of the program, please refer to the 2011-12 Mid Year Economic and Fiscal Outlook.

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	Budget 2011-12	Revised 2011-12
Average staffing level (number)	262	262

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Table 2.3.2: Variations table - Outcome 3

	2011-12 $'000	2012-13 $'000	2013-14 $'000	2014-15 $'000
Program 3.1: Medicare Services
Changes to administered appropriations
Appropriation Bill No.3
Price parameter adjustments1	-	-	1	1
	-	-	1	1
Program expenses 3.2: Targeted Assistance - Medical
Changes to administered appropriations
Appropriation Bill No.3
Medical Treatment Overseas - increased demand	500	-	-	-
Price parameter adjustments1	-	23	40	-
	500	23	40	-
Program 3.3: Diagnostic Imaging Services
Changes to administered appropriations
Appropriation Bill No.3
Price parameter adjustments1	-	(3)	-	(3)
	-	(3)	-	(3)
Program 3.4: Pathology Services
Changes to administered appropriations
Appropriation Bill No.3
Price parameter adjustments1	-	(2)	-	(2)
	-	(2)	-	(2)
Program 3.5: Chronic Disease - Radiation Oncology
Changes to administered appropriations
Appropriation Bill No.3
Price parameter adjustments1	-	(7)	-	(7)
	-	(7)	-	(7)

1 - See explanation in glossary

Table 2.3.3: Program expenses table - Outcome 3

	2011-12 Revised budget $'000	2012-13 Forward year 1 $'000	2013-14 Forward year 2 $'000	2014-15 Forward year 3 $'000
Program expenses 3.1: Medicare Services
Annual administered expenses
Ordinary annual services	4,090	4,171	352	544
Special appropriations
Dental Benefits Act 2008	75,306	82,940	90,097	98,022
Health Insurance Act 1973 - Medical Benefits	17,094,213	17,528,939	18,687,790	19,999,374
Program support	30,583	29,950	27,864	26,750
Total program expenses	17,204,192	17,646,000	18,806,103	20,124,690
Program expenses 3.2: Targeted Assistance - Medical
Annual administered expenses
Ordinary annual services	24,392	32,971	50,342	60,636
Program support	1,576	1,543	1,436	1,379
Total program expenses	25,968	34,514	51,778	62,015
Program expenses 3.3: Diagnostic Imaging Services
Annual administered expenses
Ordinary annual services	4,189	3,356	3,383	3,448
Program support	2,113	2,069	1,924	1,848
Total program expenses	6,302	5,425	5,307	5,296
Program expenses 3.4: Pathology Services
Annual administered expenses
Ordinary annual services	4,347	4,742	4,295	5,341
Program support	2,388	2,339	2,175	2,089
Total program expenses	6,735	7,081	6,470	7,430
Program expenses 3.5: Chronic Disease - Radiation Oncology1
Annual administered expenses
Ordinary annual services	70,856	71,638	70,482	70,631
Program support	2,074	2,031	1,889	1,814
Total program expenses	72,930	73,669	72,371	72,445

1- Budget estimates for this program exclude National Partnership funding paid to state and territory governments by the Treasury as part of the Federal Financial Relations (FFR) framework. National partnerships are listed in Section 2 of the 2011-12 Health and Ageing Portfolio Budget Statements under each program. For budget estimates relating to the National Partnership component of the program, please refer to the 2011-12 Mid Year Economic and Fiscal Outlook.

Program key performance indicators

The table below outlines changes to performance information within Outcome 3 since the 2011-12 Health and Ageing Portfolio Budget Statements (PBS). Revisions to performance information since the PBS have been highlighted below. Further performance information for Outcome 3 can be found at Page 137 of the PBS.

Program 3.1: Key Performance Indicators

The following ‘key performance indicators’ measure the effectiveness of Program 3.1 in meeting its objectives thereby contributing to the outcome.
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Table 3.6: Quantitative Key Performance Indicators for Program 3.1

Quantitative Indicators	2010-11 Revised Budget	2011-12 Budget Target	2012-13 Forward Year 1	2013-14 Forward Year 2	2014-15 Forward Year 3
Improve access to evidence-based medical services
Number of services delivered through Medicare by providing rebates for items listed on the MBS1	319m	328m	336m	351m	367m
Improved access to specialist medical services through telehealth
MBS rebates paid for online consultations2	N/A	$30.5m	$58.2m	$109.3m	$167.7m
Improve access to clinically relevant dental services
Percentage uptake of preventative dental checks by eligible teenagers3	2011 33%	2012 36%	2013 39%	2014 42%	2015 45%

1 - The estimated number of services has been revised due to the continued operation of the Chronic Disease Dental Scheme.
2 - Telehealth commenced 1 July 2011.
3 - The Medicare Teen Dental Plan operates on a calendar year basis. As such, estimates are for vouchers provided in the relevant calendar year.

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