The medical profession is being asked to commit significant time and effort to a large, but rapid, review of the MBS with little certainty that the final outcomes will support the holistic needs of patients, the AMA has said in its submission to the MBS Review Taskforce.
Citing a long history of contributions to earlier MBS reviews, the submission warns against a focus on cost-cutting.
“It is critical that this current review process is not prejudiced or compromised from the start by the comments made by the Minister for Health and the Chair of the MBS Review Taskforce,” it says.
Their comments included claims that 97% of MBS items have never been assessed to check they are clinically-effective, cost-efficient or safe, and that “30% or more of health expenditure is wasted on services, tests and procedures that provide no or negligible clinical benefit and in some cases…could actually cause harm to patients.”
“A review that leads to arbitrary cost-cutting, or diverts any savings from services to the budget bottom line, will not be supported,” the AMA says.
Continuing support of the review by the medical profession will require full confidence that the emphasis is on patient care, and that it will deliver a schedule reflecting modern medical practice and medical services that are provided today.
The AMA supports the role of clinical committees or working groups in setting the clinical questions, reviewing the evidence, testing their findings with the affected craft groups, and recommending appropriate changes.