CHA Asks...

CHA is calling on the elected government to commit to delivering the following key priorities.

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Health Policy Priorities

  • Reduce regulatory burden for private hospitals
  • Ensure private hospital viability through fair funding
  • Reduce the pressure on public hospitals
  • Enhance maternity and mental health services
  • Strengthen workforce planning and development
  • Expand innovative models of care

Aged Care Policy Priorities

  • Tackle aged care workforce shortages
  • Address risks to the success of the reform
  • Support aged care providers in rural areas
  • Strengthen support for home-based aged care
  • Enhance hardship provisions in aged care
  • Implement long-stay reforms to reduce bed block

Mission Policy Priorities

  • Expand funding and improve access to palliative care
  • Address homelessness by increasing investment, reducing red tape, and driving collaboration
  • Provide support for enhanced data collection through community led programs and initiatives to address inequalities.
  • Improve Indigenous health outcomes by closing the gap
  • Support the health and aged care sectors to become more environmentally sustainable.
  1. Reduce regulatory burden and red-tape​ by addressing delays in payments from insurers, standardising contracts between insurers and private hospitals, and harmonising data reporting requirements.
  2. Incorporate hospital costs, including wage growth, into the annual private health insurance premium round process. This would pave the way for the implementation of a National Private Price.
  3. Incentivise state and territory governments to utilise private hospital capacity for public hospital waiting lists. This could involve additional federal funding to encourage states and territories to meet performance targets​
  4. Directly link premium round increases with higher returns to patients and hospitals and/or mandate a minimum return of premiums to hospitals. Additionally, the capital reserve requirements for private health insurers​ should be amended so more funding flows to hospitals, and the entirety of the Government’s private health insurance rebate should be directed to patient benefits ​instead of insurer’s administrative and management expenses
  5. Enhance the accessibility and affordability of maternity and mental health services by reviewing the design of insurance products to ensure they are fit for purpose.
  6. Allow overseas-trained psychiatrists to work in private hospitals, and allow appropriately trained and qualified health professionals to admit patients to mental health day programs to reduce treatment delays especially in areas with a shortage of psychiatrists.
  7. Increase default benefits paid to regional, rural, and remote private hospitals who often struggle from smaller patient numbers and higher operating costs.
  8. Introduce default benefits for hospital-in-the-home to enhance access to these services and ensure funding stability for providers.
  9. Develop and commit to measurable and targeted improvements in primary care services to reduce the burden on public hospitals. In particular, access to general practitioners needs to be improved, particularly for patients needing aged care and disability services.
  10. Ensure Jobs and Skills Australia prioritises health and aged care workforce development. Re-establish Health Workforce Australia, or a similar workforce planning body, to ensure the care workforce meets Australia’s current and future healthcare needs.
  1. Explore alternatives to the MMM classification in thin markets as a priority to address the challenges of service delivery in specific geographical areas
  2. Deliver an interim increase to the Accommodation Supplement for residential aged care to help aged care providers continue to support financially disadvantaged residents
  3. Fund the Support at Home program to the extent that it meets demand for care delivered at home by increasing funding and the number of packages available
  4. Allow for a flexible transition to the Support at Home Program that recognises that a large proportion of providers will not be in a position to commence the Program in full on 1 July 2025.
  5. Revisit the decision to halve the care management allocation to support aged care providers to effectively deliver services to high-acuity older Australians.
  6. Ensure that the sector is funded for the transition to Support at Home through direct grants or as part of Support at Home Pricing.
  7. Ensure Jobs and Skills Australia prioritises health and aged care workforce development and in the next term of Government reestablish Health Workforce Australia, or a similar workforce planning body, to ensure the care workforce meets Australia’s current and future healthcare needs
  8. Address rent subsidisation by exempting rental deductions up to a certain limit from salary packaging caps for properties close to work
  9. Expand investment in the Aged Care Capital Assistance Program to support construction of staff accommodation in regional, rural and remote areas
  10. State and federal governments develop a strategy to resolve delays in the discharge of long-stay older people from hospital​
  1. Take action to improve access to high quality palliative care services, including implementing a default benefit for palliative care at home for insured patients, and introducing a safety net for recipients of the End-of-Life pathway under the Support at Home Program.
  1. Expand the focus on prevention of homelessness and housing stress and release the National Housing and Homelessness Plan, with a commitment to periodic reviews and time bound targets to end homelessness
  1. Expand efforts to collaboratively reduce barriers and costs associated with developing social, affordable and crisis housing, to incentivise the charitable sector further and repurpose vacant or unused land
  1. Close the funding gap in Aboriginal and Torres Strait Islander health by making health equity a foundational principle. Funding should be prioritised, proportional to the respective needs and conditions of at-risk populations
  1. Enhance data collection through community led programs and initiatives so that culturally appropriate and evidence-based action can be taken to improve Aboriginal and Torres Strait Islander health outcomes
  1. Consider ways that superannuation age access is matched against life expectancy outcomes, particularly for Aboriginal and Torres Strait Islander people. Retirement and rest should be an option for all
  2. Greater co-ordination and cooperation between government and not-for-profit healthcare and aged care providers in providing capability uplift with climate and health risk assessments and adaption planning, as well as consistency across jurisdictions on waste management legislation for health and aged care providers
  3. Strengthen the not-for-profit aged care sector in climate resiliency with scenario planning and funding mitigation strategies for improving emergency preparedness.
  4. Implementation of financial incentives to support decarbonisation of the not-for-profit health and aged care sector which should include funding for the development of a not-for-profit health and aged care sectoral decarbonisation roadmap
  5. Collaboration between Government and not-for-profit health and aged care providers to support partnerships on green procurement guidelines and procurement opportunities.

Health Policy Priorities - Top 10 CHA Asks:

  • Ensure Jobs and Skills Australia prioritises health and aged care workforce development. Re-establish Health Workforce Australia, or a similar workforce planning body, to ensure the care workforce meets Australia’s current and future healthcare needs.

Aged Care Policy Priorities - Top 10 CHA Asks:

  • Ensure Jobs and Skills Australia prioritises health and aged care workforce development. Re-establish Health Workforce Australia, or a similar workforce planning body, to ensure the care workforce meets Australia’s current and future healthcare needs.

Mission Policy Priorities - Top 10 CHA Asks:

  • Ensure Jobs and Skills Australia prioritises health and aged care workforce development. Re-establish Health Workforce Australia, or a similar workforce planning body, to ensure the care workforce meets Australia’s current and future healthcare needs.

Aged Care Policy Priorities

Private Hospitals:
  • The next Government must ensure the viability of the private hospital sector, including our not-for profit hospitals, who deserve fairer funding from private health insurers
  • We must enhance the future of private maternity and mental health services by reviewing the design of insurance products to ensure they are fit for purpose
  • The Commonwealth should develop and commit to measurable and targeted improvements in primary care services for our public hospitals
  • Inadequate funding is overcrowding emergency departments, causing longer elective surgery wait times and straining resources
  • The next Government needs to address rental subsidies for aged care nurses so they can live closer to their work. This can be done through rental deductions from salary packaging caps for properties close to employment
  • The Commonwealth should explore alternatives to the MMM Classification in rural and remote areas to address the challenges and the cost of delivering services to older Australians in specific geographical locations
  • Properly funded palliative care, particularly in rural and regional Australia, is essential to quality, end-of-life care
  • The release of the National Housing and Homelessness Plan, with a commitment to periodic reviews and time bound targets, along with more social and affordable housing, will help bring people back from the margins