Medicare
What is the name of the independent organisation responsible for the implementation of the NDIS?
The National Disability Insurance Agency
INDIVIDUALS are one way funding for our health care system is provided. Identify the two levels of government and the major type of insurance fund, which also provide significant funding.
State/ Federal/Private Health Insurance.
Identify the four incentives to take out Private Health Insurance
Private Health Insurance rebate/ Lifetime health cover/ Medicare Levy Surcharge /Age based discount
Which level/s of government is the NDIS funded by?
Federal and State
Promoting Disease Prevention and ensuring an efficient health system and workforce are two of the key considerations of a sustainable health system.
What are the other two key considerations?
Funding and regulation/Research and monitoring
Briefly explain how the Pharmaceutical Benefits Scheme promotes health status in Australia.
The PBS improves the health status of Australians by providing access to essential medicines when necessary, at a subsidised cost. This allows many health concerns to be treated or managed at an affordable cost, and therefore improves the health status of Australians and reduces burden of disease. This can contribute to lower rates of morbidity and mortality, and can increase life expectancy. Children can receive access to treatment when required, which can also decrease U5MR.
Identify the two residency requirements to qualify for the NDIS
1)Be an Aus citizen (or hold a permanent visa or protected special category visa)
2) Live in Aus where the NDIS is available
4 major interventions have been put into place to increase ACCESS to healthcare for people of all SES backgrounds. Identify three of these interventions
1) Free treatment in public hospitals and subsidised consultations through Medicare
2) Subsidised meds through the PBS
3) Subsidised Private Health Insurance through the Private health insurance rebate.
4) Support provided through the NDIS
Explain what is meant by Lifetime Health Cover loading, and how it may help to improve health status of Australians
Lifetime health cover loading is an incentive to take out private health insurance. If Australian's don't have PHI when they turn 31 years old, they will pay an extra 2% per year on their premium for every year they don't have PHI, for a maximum of 20%. It may improve health status by reducing the burden on the public health system, meaning more people can be treated for disease and therefore increase life expectancy.
What is put in place to protect people from large overall expenses from PBS listed medications? Explain this in initative.
PBS Safety Net. For those who spend a considerable amount of money on prescription medication, there is a safety net, so that once they meet a threshold, individuals recieve greater subsidy on medication.
Outline the 4 disability requirements to qualify for the NDIS
1) You have a condition or impairment that is likely to be permanent
2) your impairment substantially reduces your ability to participate in activities unless you have assistance (from others/ from technology/ or still cant without assistance from either of these)
3) Your impairment affects your capacity for social and economic participation
4) you are likely to require support under NDIS for a lifetime
An equitable health system must recognise and respond to those with special needs. An example of an intervention designed to promote equity within the health care system is the PBS Safety Net. Identify 3 other interventions which promote equity.
Intro of NDIS/ Medicare Safety Net/ Public Dental health Services (Royal Dental hospital of Melbourne) providing to vulnerable groups/ continuity between health care providers/ mental health treatment plans
Identify 5 advantages of Private Health Insurance
Enables access to private hospital care/ Choice of doctor in public or private hospital/ shorter waiting periods for some surgery/ some extras may be covered depending on level of cover (dentistry, physio etc)/ helps to keep the cost of running medicare low/ high income earners avoid paying the medicare levy surcharge/ government rebate for eligible policy holders/ lifetime healthcover incentive/ reduces burden on Australia's Health care system
Available medications are reviewed how many times a year? Why is this important?
3 times a year, by the Pharmaceutical Benefits Advisory Committee.
Important because it means only the most effective and necessary medications are being subsidised by the government. Also allows for new drug tehcnology to be subsidised
The first step once accepted into the NDIS is to create an individualised plan. Through this individualised plan, the NDIS assists participants to do 4 main things. Identify these 4 things.
1) Access mainstream services and supports
2) Access community services and supports
3) Maintain informal support arrangements
4) Receive reasonable and necessary funded supports
Identify 5 things provided through FUNDING, which promote health Status.
Health care infrastructure/ highly trained health professionals/ subsidised health services/ personnel/ essential medicines/ medical supplies/ support and assistive technology/ increased access to private health services/ public health programs (quit etc)/ advances in knowledge and technology through research