Prostheses List Advisory Committee (PLAC)

Reforming the prostheses listing arrangements to contribute to making private health insurance more affordable

Page last updated: 23 June 2017

PLAC Table of Contents


Targeted Prostheses Categories Reviews

4 May 2017

Most categories of prostheses and their benefits have not undergone major review since they were established in 2005-06. The Prostheses List Advisory Committee has set out a process of how it intends to conduct targeted category (device grouping) and benefit (pricing) reviews within the Approach for Targeted Prostheses Reviews. The Committee is seeking feedback on the proposed process before commencing the reviews. Should you wish to provide feedback, please email prostheses@health.gov.au by Wednesday 7 June 2017.

PDF Version: Targeted Prostheses Categories Reviews (PDF 178 KB)
Word Version: Targeted Prostheses Categories Reviews (Word 82 KB)

Longer Term Benefit Setting Framework

4 May 2017

The University of Melbourne’s Centre for Health Policy researched possible benefit setting models and how they could be applied to the prostheses listing arrangements. The Prostheses Benefit Setting Framework – Comparative analysis of benefit setting models research report provides preliminary information that can inform future work on a new prostheses benefit setting regulatory framework.

PDF Version: Longer Term Benefit Setting Framework (PDF 1505 KB)

PLAC Reform Work Plan

4 May 2017

The Committee has been tasked with providing advice to the Minister for Health on each of the four components of the prostheses reform work plan:

  • targeted category (device grouping) and benefit (pricing) reviews
  • revising the criteria for listing on the Prostheses List
  • minimising duplication and improving the listing process
  • establishing a new longer term benefit setting framework.

PDF version: Prostheses List Advisory Committee Reform Work Plan (PDF 78 KB)
Word version: Prostheses List Advisory Committee Reform Work Plan (Word 24 KB)

Media Release

4 May 2017
Prostheses reforms to deliver better value for private health insurance

19 October 2016
Turnbull Government to ease pressure on private health insurance premiums

8 September 2016
Reforming prostheses listing to make private health insurance more affordable

PLAC Communiques

PDF version: PLAC Communique No. 7 (PDF 131 KB)
Word version: PLAC Communique No. 7 (Word 26 KB)

PDF version: PLAC Communique No. 6 (PDF 120 KB)
Word version: PLAC Communique No. 6 (Word 26 KB)

PDF version: PLAC Communique No.5 (PDF 141 KB)
Word version PLAC Communique No.5 (Word 26 KB)

PDF version: PLAC Communique No.4 (PDF 85 KB)
Word version PLAC Communique No.4 (Word 21 KB)

PDF version: PLAC Communique No. 3 (PDF 126 KB)
Word version: PLAC Communique No. 3 (Word 25 KB)

PDF version: PLAC Communique No. 2 (PDF 100 KB)
Word version: PLAC Communique No. 2 (Word 20 KB)

PDF version: PLAC Communique No. 1 (PDF 29 KB)
Word version: PLAC Communique No. 1 (Word 95 KB)

PLAC Terms of Reference

PDF version: PLAC Terms of Reference (PDF 25 KB)
Word version: PLAC Terms of Reference (Word 30 KB)

PLAC Operational Guidelines

PDF version: Prostheses List Advisory Committee Operational Guidelines (PDF 121 KB)
Word version: Prostheses List Advisory Committee Operational Guidelines (Word 552 KB)

The Final Report of the Industry Working Group on Private Health Insurance Prostheses Reform

The Final Report of the Industry Working Group on Private Health Insurance Prostheses Reform

The PLAC

Committee Membership

Chair: Professor Terry Campbell (AM)

Members:

  • Dr Henry Ko - Consumer Representative
  • A/Prof David Morgan OAM - Expert Member – Hip/Knee
  • Dr Orso Osti - Expert Member – Spinal
  • Dr Ian McRae - Expert Member – Health Economics
  • Dr David Robinson - Expert Member – Vascular
  • Dr Rosemary Korda - Expert Member – Epidemiology
  • Prof Bill Heddle - Expert Member – Cardiac/Cardiothoracic
  • Prof Allan Glanville - Expert Member – General/Lung
  • Prof Anne Simmons - Expert Member – Medical Technology
  • Adj/Prof Jim Butler - Expert Member – Health Economics
  • Ms Emma Bognar - Advisory Member – Australian Private Hospitals
  • Ms Cathy Ryan - Advisory Member – Catholic Health Australia
  • Dr Christopher Dalton - Advisory Member – Private Healthcare Australia
  • Dr Jui Tham - Advisory Member - HIRMAA
  • Ms Andrea Kunca - Advisory Member - MTAA
  • Dr Greg Roger - Advisory Member - AusBiotech
  • Ms Gabrielle Moreland - Advisory Member – Day Hospitals Australia
  • Ms Adriana Platona - TGA Representative
  • Prof Robyn Ward - MSAC Representative
  • Ms Robyn Kemp - DVA Representative

PLAC Bulletins

ThePLAC issues a PLAC Bulletin from time to time to inform stakeholders about matters of process and policy relating to the prostheses arrangements.

The Bulletins (including PDC Bulletins) are provided below:

Clinical Advisory Groups (CAGs) and Panel of Clinical Experts

The PLAC is supported by Clinical Advisory Groups (CAGs) and a Panel of Clinical Experts. These groups provide clinical advice on their areas of expertise:

Chairs and Members of the CAGs and Panel are appointed in consultation with the PLAC Chair.

The nomination and appointment process for CAGs and the Panel were recently reviewed and updated. The revised nomination and appointment process below has been endorsed by PLAC.

PDF Version: CAG and Panel Nomination and Appointment Process (PDF 100 KB)
Word Version: CAG and Panel Nomination and Appointment Process (Word 26 KB)

CAG Terms of Reference

PDF version: CAG Terms of Reference (PDF 28 KB)
Word version: CAG Terms of Reference (Word 30 KB)

The Committee is seeking feedback on the draft documents before finalising them. Should you wish to provide feedback, please email prostheses@health.gov.au by COB Wednesday 19 July 2017.

CAG Operational Guidelines

PDF version: CAG Operational Guidelines (PDF 148 KB)
Word version: CAG Operational Guidelines (Word 559 KB)

The Committee is seeking feedback on the draft documents before finalising them. Should you wish to provide feedback, please email prostheses@health.gov.au by COB Wednesday 19 July 2017.

The list of CAGs is provided below. The Chair is represented in bold text and the consumer representative is underlined.

Each CAG also has a representative from the medical devices industry as an adviser. They are not listed.

Cardiac Prostheses Clinical Advisory Group

Associate Professor Glenn Young
Dr Angas Hamer
Dr John Knight
Dr James Rankin
Associate Professor Darren Walters
Ms Rachel Bishop

Cardiothoracic Prostheses Clinical Advisory Group

Mr Gil Shardey
Mr Bruce Davis
Dr John Knight
Dr Hugh Wolfenden
Mr Paul Simpson

Hip Prostheses Clinical Advisory Group

Professor Stephen Graves
Professor Richard de Steiger
Dr John Fraser
Mr John Harris
Associate Professor Graham Mercer
Mr Neville Millen

Knee Prostheses Clinical Advisory Group

Dr Peter Lewis
Professor Stephen Graves
Associate Professor Stephen Rackemann
Associate Professor Christopher Vertullo
Dr David Martin
Dr Janney Wale

Ophthalmic Prostheses Clinical Advisory Group

Dr Iain Dunlop
Dr Andrew Chang
Dr Tim Forster
Dr Ralph Higgins OAM
Ms Karen Carey

Specialist Orthopaedic Clinical Advisory Group

Dr John Batten
Dr David Lunz
Dr John North
Dr Gregory Nutting
Dr David Gill
Dr Anthony Cadden
Dr Roger Butorac
Dr Anthony Ganko
Dr Christopher Brown
Mr Richard Large
Associate Professor Marinis Pirpiris
Dr Christopher Morrey
Dr Janney Wale

Spinal Prostheses Clinical Advisory Group

Dr Robert Kuru (Acting)
Mr Patrick Chan
Dr Andrew Kam
Ms Mary Jane Morales
Dr Orso Osti (Also a member of PLAC)
Dr David Johnson
Mr Richard Laherty

Urogenital Prostheses Clinical Advisory Group

Dr Ross Cartmill
Dr Anna Rosamilia
Mr Dennis Roy
Dr Ian Tucker
Dr Christopher Love

Vascular Prostheses Clinical Advisory Group

Associate Professor Peter Thursby OAM
Ms Eileen Jerga AM
Dr Andrew Lennox
Dr David Robinson
Dr Toby Cohen
Dr Wallace Foster

Panel of Clinical Experts

The Panel of Clinical Experts undertakes health technology assessments that consider the comparative clinical function and effectiveness of medical devices being considered for listing on the Prostheses List. The assessments inform the Panel of Clinical Experts’ advice to the PLAC and the Department of Health on the suitability to list on the Prostheses List.

The Panel of Clinical Experts is a sub-committee of the PLAC. The clinical expertise represented on the Panel of Clinical Experts will be determined by PLAC or in consultation with the Department of Health.  The size and composition of a Panel of Clinical Experts will consist of a minimum of two clinical experts from each clinical sub-speciality from which prostheses are listed.

Ear, Nose and Throat

Associate Professor Melville da Cruz
Dr Raymond Sacks
Professor Stephen O’Leary
Professor Peter Friedland
Professor Francis Lannigan

General Miscellaneous

Dr Andrew Cotterill
Dr Justin Evans
Prof Allan Glanville
Prof Errol Maguire
Dr Edward Murphy
Dr Meron Pitcher
Mr Gil Shardey
Dr Siew-Piau Tan
Associate Professor Peter Thursby OAM
Mr Philip Truskett
Dr Ian Tucker
Dr Scott Williams

Neurosurgical

Dr Kristian Bulluss
Dr Winston Chong
Dr Marc Coughlan
Dr Jerry Day
Professor Gavin Fabinyi
Dr Albert Goh
Dr David Johnson
Professor Mark Khangure
Dr Patrick Lo
Dr Raoul Pope
Dr Brendan Steinfort
Dr Jamie Taylor

Plastic and Reconstructive

Dr Paul Coceanig
Dr Miles Doddridge
Dr Richard Lewandowski
Associate Professor Andrew Smith

Health Economics Sub-Committee (HESC)

The Health Economics Sub-Committee advises the PLAC on the validation of proposed benefits for new groupings of prostheses on the Prostheses List, and requests for review of group benefits.

The members include:
Adjunct Professor Jim Butler
Professor Ian McRae
Dr Rosemary Korda
Ms Robyn Kemp

HESC Terms of Reference

PDF version: HESC Terms of Reference (PDF 27 KB)
Word version: HESC Terms of Reference (Word 31 KB)

The Committee is seeking feedback on the draft documents before finalising them. Should you wish to provide feedback, please email prostheses@health.gov.au by COB Wednesday 19 July 2017.

HESC Operational Guidelines

PDF version: HESC Operational Guidelines (PDF 145 KB)
Word version: HESC Operational Guidelines (Word 562 KB)

The Committee is seeking feedback on the draft documents before finalising them. Should you wish to provide feedback, please email prostheses@health.gov.au by COB Wednesday 19 July 2017.