Department of Health, Disability and Ageing

FOI 26-3324 – Private Health Insurance Rebate Modelling

FOI 26-3324 Released 159 pages PDF

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This FOI release concerns modelling of the Private Health Insurance (PHI) rebate change, including Budget Estimates briefs, a Finity comparison, forward estimates tables and Senate questions on notice. The modelling projects that the rebate cut would reduce PRI-funded private hospital separations for people aged 69 and over, with drops of roughly 0.0% to 16.1% by 2028-29 depending on scenario, and reduce private hospital charges by up to about 1.8% of revenue. Reported findings indicate the rebate change is likely to affect less than 1% of public hospital demand. Expenditure estimates show PHI rebate costs of about $7.9 billion in 2025-26, rising to $30.2 billion across 2026-27 to 2029-30 including the Budget save. Some tables are incomplete or contain inconsistent figures, and no specific drugs or clinical efficacy data are included.

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