Changes in out-of-pocket charges associated with obstetric care provided under Medicare in Australia

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Callander, Emily
Fox, Haylee
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2018
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Abstract

Recent health reforms alongside unregulated provider fees have led to increased attention being given to out‐of‐pocket healthcare costs. This study utilised annual statistics published by the Department of Health for services provided under the Medicare Benefits Schedule (MBS) from 1992/3 to 2016/17 to identify changes in out‐of‐pocket charges for obstetric items over time, and estimate the change in demand for obstetric items in response to price increases. Since 1992/3 out‐of‐pocket charges increased by 1035% for out‐of‐hospital items and 77% for in‐hospital items. Demand for obstetric items has reduced with increasing charges.

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AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY

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58

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3

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© 2018 AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY. This is the peer reviewed version of the following article: Changes in out-of-pocket charges associated with obstetric care provided under Medicare in Australia, AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY, Volume 58, Issue 3, which has been published in final form at https://doi.org/10.1111/ajo.12760. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)

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Health services and systems

Public health

Reproductive medicine

Midwifery

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