Fact Check: If bulk-billing is up, are costs for patients down?

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The Health Minister has his numbers right on bulk-billing — but that doesn't necessarily mean fewer patients are facing out-of-pocket costs when they see a GP.

And does that mean more patients are visiting GPs without having to pay?He has the numbers right, but it does not necessarily follow that an increase in bulk-billing means fewer patients face out-of-pocket costs when seeing their GP.

Experts told Fact Check that this meant Mr Hunt was conflating a rise in the bulk-billing rate with a decrease in the number of patients paying out-of-pocket costs, for which data is limited. "It is predicted that if growth in the bulk-billing rate continues to slow at the same rate, the bulk-billing rate will decline by 2019–20."In the Health of the Nation report, the RACGP explains that the bulk-billing rate refers to the percentage of medical services in Australia that are bulk-billed.

"Therefore, while it is true that 86.1 per cent of general practice services are bulk-billed, the proportion of patients fully bulk-billed is actually much lower." Margaret Faux, a lawyer specialising in Medicare and health law, told Fact Check there was"no correlation" between high bulk-billing rates and fewer individual people paying out-of-pocket.

 

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Not in my experience. My gp raised consultation fee and now I’m $60 out of pocket each visit.

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