One Nation and Primary Care Policy By Paul Soloviev, General Practice Training and Consulting After more than twenty-five years working across Australian primary care — in clinical settings, Medicare compliance, accreditation systems, workforce planning, and funding reform projects — I have learned one consistent lesson: Political shifts reshape general practice Read more
Have you noticed a drop in quick visits for things like medical certificates or simple scripts? Many general practices in Australia charge private fees on top of the Medicare rebate. In comparison, telehealth services often cost less—some even bulk bill patients, sometimes in ways that may not follow the rules. Read more
Measuring What Matters: Why Clinical Outcomes Must Reflect Action, Not Just Numbers By Paul Soloviev In my previous article, I argued that we must keep the fee-for-service model but rebuild it. We should fund continuity of care, reward good clinical management, and stop punishing clinics doing their best under challenging Read more
Capitation Model is De-capitation of Medicare Or a story of a lack of talent in the Governments The Medicare conversation in Australia has taken a dangerous turn. After years of underfunding and band-aid solutions, policymakers are now floating capitation as the magic fix. On the surface, it sounds elegant: Clinics Read more
I Asked ChatGPT How to Fix the Medicare Crisis in Australia Australia’s Medicare system is in trouble. We’ve known this for a while. Earlier this year, I wrote about the proposed 30% rebate increase. I called it what it is: a band-aid on a broken system. Since then, nothing’s changed. Read more
Proposed 30% Medicare Rebate Increase Before the May 2025 Election: A Band-Aid on a Broken System As Australia approaches the May 2025 federal election, both major political parties have revived their promises to increase Medicare rebates by 30%. While this might seem like a generous boost, the reality is that Read more