Calculated net benefit per service item if proposed universal bulk-billing adopted, across a range of pre-existing proportion of patients bulk-billed (with existing bulk-billing incentives) and mean gap fees charged for all other services (which would have qualified for bulk-billing incentive if the patient currently has a health care card etc., or will qualify for all patients under the universal bulk-billing proposal).
Download benefits '.csv' or Excel table
Downloaded table format:
gap - mean gap fee ($) for services which are billed to a patient without receiving a bulk-billing incentive (e.g. service for an adult without a concession card). If these services were 'bulk-billed' to a patient with a concession card, then the service would attract a bulk-billing incentive. Note that the 'mean' gap fee for these services includes services which are 'bulk-billed to patient who do not qualify for current bulk-billing incentives.
concessional_bulkbilled - proportion (%) of services which are bulk-billed and receive a bulk-bill incentive payment. This is a proportion of *all* services charged with these service item numbers. Only services which potentially attract bulk-billing incentives should be included.
current_fee_mean - the calculated mean fee for services.
benefit - the mean benefit/cost per service of adopting universal bulk-billing.
benefit_rel - the calculated change in revenue of adopting universal bulk-billing.
Medicare Benefit Schedule table
Must include columns: fee_names, service_fees, service_proportion_raw_bulk, service_proportion_raw_private, gap_fee, individual_bulkbill_incentive_by_fee .
Table editing
By default, the table includes 'raw' numbers from Medicare Benefits Schedule statistics, 2024. *Only* service items to which bulk-billing incentives apply should be included in this table.Using 'right-click', MBS service item rows can be added or removed.
Column description
fee_names - Name of MBS service item. *Only* service items to which bulk-billing incentives apply should be included in the tableservice_fees - Medicare Benefit Schedule rebate, excluding incentives
incentive_by_fee - whether single- or triple- bulk-billing incentive applies
gap_fee - the mean gap fee charged when the service is not bulk-billed or the service has not received a bulk-bill incentive
fix_gap - If ticked, then this service fee is 'fixed' to the 'gap' value when plotting tables and graphs, instead of varying from $0 to $70. This might be useful if the clinic doesn't ever charge 'gap' fees for certain items e.g. health assessments.
service_proportion_raw_bulk and service_proportion_raw_private - the 'raw' number/proportion which the service item contributes to either 'bulk-billed with incentive' services or 'other/private' services.
For simplicity, the same number can be used in both 'bulk' and 'private' columns.
From the 'raw' numbers, a proportion is calculated (the calculated columns, 'service_proportion_bulk' and 'service_proportion_private', cannot be directly edited).