4 April 2023 - Australia’s health funding system is “fragmented and disjointed” and in critical need of being simplified, says a review of Medicare compliance that concluded $1.5 - $3 billion a year is likely lost predominantly from billing errors rather than premeditated fraud.

The review by health economist Pradeep Philip has found the unwieldy Medicare Benefits Schedule, that contains about 6,000 item numbers, is not fit for purpose and has not kept pace with modern methods of service delivery or the reality of complex multidisciplinary care.

Read The Australian article