Health Matters Podcast

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The Health Matters Podcast presented by CHA.

Episodes

  1. Jun 23

    Why Australia's health reforms keep failing patients

    The number of older Australians stuck in hospital beds they don't medically need has jumped more than 50 per cent, with some waiting up to 100 days for an aged care or disability place that isn't there. A new 196-page health reform agreement was meant to fix exactly this. Today we break down what that agreement actually delivers, the cut to the over-65 private health rebate, why specialist out-of-pocket costs have nearly tripled since 2009, and where the system passes and fails the "Good Samaritan" test. Host: Dr Katharine Bassett, Director of Health Policy at Catholic Health Australia Guest: Professor Stephen Duckett Chapters: (00:00) Intro (01:04) Stranded patients and the beds they can't leave (07:11) The reform agreement built to change nothing (09:00) Why health data stays locked and reform stalls (14:01) The over-65 rebate cut and the panic around it (16:19) The quiet downgrade from gold to silver cover (20:45) Out-of-pocket costs have nearly tripled since 2009 (24:12) Using the Constitution to rein in specialist fees (27:35) The Good Samaritan test for our health system (32:40) What still gives him hope for the next decade -- Follow the show: Spotify ► https://open.spotify.com/show/59le9wJXYo5ND6F2f8SCX7 Apple Podcasts ► https://podcasts.apple.com/us/podcast/id1893587841 Health Matters is an Amplieo Original podcast produced by Amplieo Media Group and presented by Catholic Health Australia. Subscribe to Amplieo+ to unlock members-only content for the show: https://amplieo.substack.com

    Why Australia's health reforms keep failing patients

  2. May 27

    Why specialist out-of-pockets dwarf the official data

    A new federal inquiry into the affordability of specialist care opens with a data problem: reported average in-hospital out-of-pockets sit around $270, while patients in the breast cancer community routinely pay $30,000 to $50,000. Chapters (00:00) - Intro (02:18) - Cracks at the edges of our world-class system (05:51) - Gap shock: when the bill arrives after diagnosis (14:13) - The $270 versus $30,000 out-of-pocket data gap (22:11) - Why workforce shortages never quite get solved (27:34) - Diagnosis day and the case for a navigator role (31:50) - Why a regular GP is the missing piece of care (37:38) - Why your submission to the inquiry matters most -- Subscribe to Amplieo+ to unlock members-only content for theshow: https://amplieo.substack.com/s/health-matters -- Stay across Health Matters: Instagram - www.instagram.com/healthmattersaus YouTube - https://www.youtube.com/@healthmattersaus Health Matters is an Amplieo Original podcast produced byAmplieo Media Group and presented by Catholic Health Australia. Learn more about Amplieo ➡️ https://www.amplieo.com

    Why specialist out-of-pockets dwarf the official data

  3. May 11

    Patching the system: what the 2026 budget won't fix

    Australia spends billions managing the consequences of a fragmented health system while comparable countries collect the gas revenue we leave on the table. Health economist Luke Slawomirski on the 2026 budget, the PHI rebate, and what a serious reform agenda would actually look like. Guest: Dr Luke Slawomirski, Health Economist at the Australia Institute. Chapters (00:00) - Intro (01:10) - The patch budget: trims, not structural reform (03:46) - How health systems fail: unevenly, not all at once (06:59) - A 25% gas export levy and the revenue problem (10:42) - Single purchaser: why Taiwan works and we don't (17:05) - The PHI rebate: regional reliance, bad targeting (24:42) - Why prevention keeps losing to acute care politics (29:41) - Where the next $3 billion should go on prevention --Follow the show:- Instagram- YouTube Health Matters is an Amplieo Original podcast produced by Amplieo Media Group and presented by Catholic Health Australia.Subscribe to Amplieo+ to unlock members-only content for the show.Learn more about Amplieo ➡️ https://www.amplieo.com

    Patching the system: what the 2026 budget won't fix

  4. Apr 15

    Fixing Private Hospital Funding with a Private National Efficient Price

    Health economist James Downie joins Dr Katharine Bassett to examine how legacy funding models, workforce shortages, and fragmented care pathways are structurally driving inefficiency across Australian healthcare. Chapters (00:00) Intro (01:12) The private hospital viability crisis (04:35) Why current pricing models are failing (07:58) What a Private National Efficient Price would do (11:22) Transparency vs market dynamics (14:46) The role of DRGs in pricing standardisation (18:05) Negotiating with insurers under a benchmark model (21:30) Public vs private system alignment (24:10) What happens without reform -- Follow the show: Instagram - https://www.instagram.com/healthmattersaus YouTube - https://www.youtube.com/@healthmattersaus Health Matters is an Amplieo Original podcast produced by Amplieo Media Group and presented by Catholic Health Australia. Subscribe to Amplieo+ to unlock members-only content for the show : https://amplieo.substack.com/s/in-the... Learn more about Amplieo ➡️ https://www.amplieo.com

    Fixing Private Hospital Funding with a Private National Efficient Price
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