Guaranteeing Medicare – improving safety and quality through stronger compliance (PDF 116 KB)
The Government will invest $9.5 million over five years from 2017–18 to continue to improve Medicare compliance arrangements and debt recovery practices to ensure Medicare services are targeted at serving the health needs of Australian patients. In consultation with the Privacy Commissioner, legislation will be introduced to support improved compliance.
Why is this important?This measure includes better targeting investigations into fraud, inappropriate practice and incorrect claiming and will use data analytics and behavioural driven approaches to compliance. This measure will also ensure that patients are receiving the right health services and that health funding is being used to deliver the best outcomes.
Improved compliance and debt recovery arrangements were among the principles agreed in the compacts negotiated with the Australian Medical Association and the Royal Australian College of General Practitioners in preparing the 2017–18 Budget. The Government will continue to consult professional bodies and stakeholder groups on improved compliance strategies.