2014 Premium Round – PHIAC’s Role. Shaun Gath CEO, Private Health Insurance Administration Council Presentation to Industry Sydney, 6 November 2013 Melbourne, 12 November 2013. Agenda. Legislation What’s new (nothing much) PHIAC’s approach to the task Guiding principles.
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Shaun GathCEO, Private Health Insurance Administration Council
Presentation to Industry
Sydney, 6 November 2013
Melbourne, 12 November 2013
“A vastly improved process resulting in many hours and $$ saved”
“A big positive step forward”
“We thought the process was very good”
“A better and more transparent process”
“Like it lots”
“a material improvement over recent years”
See also 2013 Stakeholder Survey at www.phiac.gov.au, p16
66‑10 Minister’s approval of premiums
(1) A private health insurer that proposes to change the premiums charged under a *complying health insurance product must apply to the Minister for approval of the change:
(a) in the *approved form; and
(b) at least 60 days before […] the change [takes] effect.
(3) The Minister must, by written instrument, approve the proposed changed amount or amounts, unless the Minister is satisfied that a change that would increase the amount or amounts would be contrary to the public interest.
Minister for Health
Sent to PHIAC
Technical analysis and “minimum necessary” opinion (if sought)
PHIAC – Insurer Discussions
DoHA liaison and observational role assisting Minister and PHIAC
To achieve an appropriate balance between:
(a) fostering an efficient and competitive health insurance industry;
(b) protecting the interests of consumers;
(c) ensuring the prudential safety of individual private health insurers
(PHI Act, section 264-5)
In 2013, the Australian PHI market seems:
Source: IPSOS, Health Care & Insurance 2011; ACCC, Report to the Australian Senate on anti-competitive and other practices by health funds and providers in relation to private health insurance; PHIAC, Competition in the Australian PHI Market, 2013.