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Key elements of Commonwealth-state hospital funding agreements |
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| Agreement |
Political Objective |
Key Principles |
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| 1984–88 : Labor (Medicare Compensation Agreement) |
Introducing Medicare |
Compensation for cost increases and revenue losses |
| 1988–93 : Labor (Medicare Agreement) |
Consolidating Medicare Growth and reform of public provision |
Incentives for system reform Penalties for lower public:private bed day shares and excess private medical service use |
| 1993–98 : Labor (Medicare Agreement) |
Entrenching Medicare Expansion of public provision |
Reward for relatively higher levels of public provision and for increasing public provision relative to other states Post 1996, accountability for negotiated outcomes |
| 1998–2003 : Coalition (Australian Health Care Agreement) |
Continuing with Medicare Increased Commonwealth funding with increased accountability for states |
Increased accountability on states for activity level changes Increased clarity of Commonwealth responsibility if health insurance levels change |
| 2003–08 : Coalition (Australian Health Care Agreement) |
Continuing with Medicare Slowed Commonwealth funding growth Increased accountability for states |
Improved reporting, including of state spending Requirement on states at least to match Commonwealth funding increases |
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Source: [11] | ||
Duckett Australia and New Zealand Health Policy 2004 1:5 doi:10.1186/1743-8462-1-5 |
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