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An Analysis of the General Practice Access Scheme on GP Incomes, Bulk Billing and Consumer Copayments

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  • Elizabeth Savage
  • Glenn Jones

Abstract

In response to falling rates of bulk billing, in April 2003 the Australian Government proposed changes to the way that general practitioners (GPs) are reimbursed. It claimed that the General Practice Access Scheme (GPAS) would benefit all Australians by providing more affordable access to GP services and improved access to free GP consultations for concession cardholders. This article examines the likely impacts of the GPAS, focusing on the proposed changes to bulk billing and payments to GPs. It examines the current spatial distribution of bulk billing and discusses how the package changes the incentives for GPs to charge patients and likely impacts on GP income, patient copayments and bulk billing rates. Copyright 2004 The University of Melbourne, Melbourne Institute of Applied Economic and Social Research.

Suggested Citation

  • Elizabeth Savage & Glenn Jones, 2004. "An Analysis of the General Practice Access Scheme on GP Incomes, Bulk Billing and Consumer Copayments," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 37(1), pages 31-40, March.
  • Handle: RePEc:bla:ausecr:v:37:y:2004:i:1:p:31-40
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    Citations

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    Cited by:

    1. Hugh Gravelle & Anthony Scott & Peter Sivey & Jongsay Yong, 2016. "Competition, prices and quality in the market for physician consultations," Journal of Industrial Economics, Wiley Blackwell, vol. 64(1), pages 135-169, March.
    2. Patricia Apps & Ray Rees & Elizabeth Savage, 2004. "The Economics of a Two Tier Health System: A Fairer Medicare?," CEPR Discussion Papers 478, Centre for Economic Policy Research, Research School of Economics, Australian National University.
    3. Luke B Connelly & James R G Butler, 2013. "Insurance Rebates, Incentives and Primary Care in Australia," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 38(1), pages 181-181, January.
    4. Meliyanni Johar & Glenn Jones & Elizabeth Savage, 2014. "What Explains The Quality And Price Of Gp Services? An Investigation Using Linked Survey And Administrative Data," Health Economics, John Wiley & Sons, Ltd., vol. 23(9), pages 1115-1133, September.
    5. Rita Santos & Hugh Gravelle & Carol Propper, 2013. "Does quality affect patients’ choice of doctor? Evidence from the UK," Working Papers 088cherp, Centre for Health Economics, University of York.
    6. Johar, Meliyanni, 2012. "Do doctors charge high income patients more?," Economics Letters, Elsevier, vol. 117(3), pages 596-599.
    7. Donald J. Wright, 2013. "An Equilibrium Model of General Practitioner Payment Schemes," The Economic Record, The Economic Society of Australia, vol. 89(286), pages 287-299, September.
    8. Rita Santos & Hugh Gravelle & Carol Propper, 2013. "Does quality affect patients’ choice of doctor? Evidence from the UK," The Centre for Market and Public Organisation 13/306, Department of Economics, University of Bristol, UK.
    9. Ian McRae & James Butler, 2014. "Supply and demand in physician markets: a panel data analysis of GP services in Australia," International Journal of Health Economics and Management, Springer, vol. 14(3), pages 269-287, September.
    10. Jane Hall, 2005. "The politics of medicare: who gets what, when and how by GWENDOLYN GRAY. UNSW Press, Australia, 2004. No. of pages: 111. ISBN 0-86840-703-8," Health Economics, John Wiley & Sons, Ltd., vol. 14(8), pages 869-870.
    11. Van Doorslaer, Eddy & Clarke, Philip & Savage, Elizabeth & Hall, Jane, 2008. "Horizontal inequities in Australia's mixed public/private health care system," Health Policy, Elsevier, vol. 86(1), pages 97-108, April.

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