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    MBS Ophthalmology Taskforce Review

    Proposed changes to Medicare for eye injections

    Lady sitting on a chair with knitting needles and a red ball of wool

    A proposal to cut Medicare rebates for eye injections is the primary issue on our current advocacy agenda. 

    The Medicare Benefits Schedule (MBS) Review Taskforce (The Taskforce) published its ophthalmology report in December 2020, containing 19 recommendations.

    The Final Report on the review of Ophthalmology Medicare Benefits Schedule items has been submitted to the federal Health Minister Greg Hunt and its recommendatoins are currently under consideration.

    We support several of the recommendations. However, the Taskforce also included a recommendation to cut the patient rebate for eye injections by 69 per cent. This is despite MDFA, patients and ophthalmologists voicing strong opposition to any rebate cut.

    Eye injections are also called intravitreal injections. They deliver sight-saving treatment for people with a range of macular conditions. These include wet (neovascular) age-related macular degeneration (wet AMD) and diabetic macular oedema (DMO).

    The rebate cut is still just a recommendation.

    We’re concerned about this proposal to cut the eye injection rebate and the impact it would have on patients’ out-of-pocket costs. 

    We know that many in our community already struggle to afford out-of-pocket costs associated with their treatment. For many people, this treatment is ongoing and indefinite. We also know that there are very few public services people can to turn to for an eye injection if they can’t afford private treatment.

    That’s why MDFA has been particularly active on this issue throughout the consultation process.

    What we’re doing

    We called on our community to tell us about how the proposed Medicare rebate cut would impact them.

    Then we briefed Minister Hunt in late 2019, making sure your voices were heard.

    We presented Minister Hunt with a costed impact report in the event a cut would proceed and the resulting shifting of costs to other parts of the health, ageing and welfare system which would yield a net cost to taxpayers. 

    MDFA also commissioned PwC to develop alternate models of care. This would include establishing more regional low-cost clinics to improve treatment access by reducing travel costs and time. We’ve also suggested introducing alternative payment options in private clinics by empowering patients to be better informed on the cost of ongoing treatment.

    This report, already presented to Minister Hunt, will be submitted to state and territory health ministers later in 2021.

    Posted: 7 March 2021

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