Simon James wrote:

In any case, I expect that Medicare's first priority was to get this system
used as widely as possible as quickly as possible. If this system was
reliant on clinical software at some stage in the process, I expect the
result would have been similar to HIC Online, which took a relatively long
time to be accepted/deployed by both practices and software vendors.

Simon,

First they had Medclaims, which took a long while to roll-out, then they laboured over HICOnline/Online claiming, which has long been under-incentivised, now we have the eftpos device. Same strategy, same lack of consultation with practices and testing before announcing the "newest, biggest, thing".

I think it will just confuse practices and get people's backs up when they realise how badly it suits practice needs, as opposed to the government's desire to:

1. reduce the operating costs of bulk-billing

2. find a way to make move away from high rates of bulk-billing to private billing more palatable for the electorate.

Attempts to date of the cost-shifting of Medicare running costs has already put many practices off. Manual bulk-billing still gets you your multi-part carbonised forms. Online claiming means you buy paper and toner/ink. More time processing patient's interaction with Medicare for them is a significant cost, both for Online Claiming and for the new system.

At least the former allows efficient management of practice accounting and dealing with errors. The new system is shamelessly geared to keeping patients and the government happy.

Greg
--
Greg Twyford
Information Management & Technology Program Officer
Canterbury Division of General Practice
E-mail: [EMAIL PROTECTED]
Ph.: 02 9787 9033
Fax: 02 9787 9200

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