Current reviews of existing MBS items
On 28 March 2013 the Department published the scope, or terms of reference, for the review of ear, nose and throat services, seeking feedback on key stakeholders, the scope itself, and the proposed review methods and techniques.
- Draft Scope for Ear, Nose and Throat Services (Word 95 KB)
- Draft Scope for Ear, Nose and Throat Services (PDF 640 KB)
Public consultation has now closed for several MBS reviews.
From 5 February to 5 March 2013 the Department sought comments on draft protocols for reviews of botulinum toxin injection, lipectomy, perfusion, rhinoplasty, vulvoplasty, knee arthroscopy, wrist ganglia surgery, and inguinal hernia repairs as well as the draft scope for the review of paediatric surgery.
Additionally, from 25 February to 25 March 2013 the Department sought comments on draft protocols for reviews of Vitamin D and Vitamin B12/folate testing.
The documents have been removed from the website while working groups for each review consider them and comments received. The Department will publish them again once they are made final.
MBS REVIEWSIn the 2011-12 Budget, the Australian Government committed, through the Comprehensive Management Framework for the MBS (CMFM), to continue the systematic review of Medicare Benefits Schedule (MBS) items to ensure that they reflect contemporary evidence, improve health outcomes for patients and represent value for money.
PRINCIPLES TO GUIDE MBS REVIEWSReviews will:
- have a primary focus on improving health outcomes and the financial sustainability of the MBS, through consideration of areas potentially representing:
- patient safety risk;
- limited health benefit; and/or
- inappropriate use (under or over use);
- be evidence-based and fit-for-purpose;
- be conducted in consultation with key stakeholders including, but not limited to, the medical profession and consumers;
- include opportunities for public submission;
- be published; and
- use Government resources efficiently.
OBJECTIVES OF THE REVIEWSTo ensure the clinical and financial sustainability of the MBS, reviews will assess specific services or MBS item(s) and associated policy issues in a focused, fit-for-purpose, evidence based process. Findings will recognise that MBS funding should align with contemporary evidence, reflecting appropriate patient groups and best clinical practice.
MBS REVIEWS PROCESSESThe first stage of a review is the identification of its scope, including whether parts of the review should be considered via the MBS-specific pathway or the policy-orientated pathway, which will consider policy issues not suitable for the formal MBS processes, or other issues (such as pharmaceuticals or prostheses) falling under separate processes.
The identification of a review scope and the allotment of pathways is the task of the Consultation Review Committee (CRC), a time limited committee of nominated experts, determined and chaired by the Department, and given the charter to advise the Department on policy issues.
The MBS pathway will follow the Medical Services Advisory Committee (MSAC) process. (MSAC and its subcommittees were established expressly to advise on MBS matters.) The MBS pathway includes the:
- development of a protocol;
- collection and evaluation of evidence on the basis of the protocol, ending in a review report; and
- advice and recommendations to the Minister through the Department.
At a review’s culmination, the advice and recommendations of the CRC and MSAC inform the Department’s advice for the Minister.
STAKEHOLDER AND PUBLIC CONSULTATIONStakeholder engagement is a vital part of MBS Reviews, particularly as feedback will help inform the final review report and recommendations to the Minister. In that vein, the Department will publish for public comment the draft review documents, that is the draft protocol and draft report. Direct stakeholder and the general public (patients, consumer groups, individual service providers, health professionals and manufacturers) will be invited to provide comment on the draft review documents as they are made available on this website.
As part of its commitment to stakeholder engagement, the Department will open MBS Reviews documents such as review scopes, protocols and reports to periods of public consultation, seeking feedback on their design and content. The Department is particularly interested in feedback on the clinical research questions, clinical pathways, and target stakeholders set out in the MBS Reviews protocols and reports.
Any feedback should be sent to MBSReviews@health.gov.au during the designated window of public consultation. All feedback will be treated as confidential; it will not be published
The table below sets out past and current reviews, and whether review documents—scopes, protocols and reports—are open for public comment.
General inquiries or comment on MBS Reviews documents can also be sent to MBSReviews@health.gov.au
CURRENT MBS REVIEWSThese review topics were selected against current evidence, quality and safety concerns identified in national and international literature, MBS claiming data, and on advice from medical craft groups.
|MBS Review 1||Ophthalmology (Stage I)||MBS Reviews 1–4 were demonstration reviews, and are completed. |
Demonstration reviews of existing MBS items
|MBS Review 2||Colonoscopy|
|MBS Review 3||Obesity surgery|
|MBS Review 4||Pulmonary artery catheterisation|
|MBS Review 5||Ophthalmology (Stage II)||Complete||Complete||Complete|
|MBS Review 6||Cardioverter defibrillator services||Complete||In development|
|MBS Review 7||Carotid surgery||Complete||In development|
|MBS Review 8||Vulvoplasty/labioplasty||Complete||Public Consultation closed on 5 March 2013|
|MBS Review 9||Inguinal hernia surgery||Complete||Public Consultation closed on 5 March 2013|
|MBS Review 10||Botulinum toxin injections||Complete||Public Consultation closed on 5 March 2013|
|MBS Review 11||Lipectomy||Complete||Public Consultation closed on 5 March 2013|
|MBS Review 12||Cardiac perfusion||Complete||Public Consultation closed on 5 March 2013|
|MBS Review 13||Rhinoplasty||Complete||Public Consultation closed on 5 March 2013|
|MBS Review 14||Diagnostic knee arthroscopy||Complete||Public Consultation closed on 5 March 2013|
|MBS Review 15||Varicose vein surgery||Complete||On hold|
|MBS Review 16||Wrist ganglia surgery||Complete||Public Consultation closed on 5 March 2013|
|MBS Review 17||Skin services||Complete||In development|
|MBS Review 18||Paediatric surgery||Public Consultation closed on 5 March 2013|
|MBS Review 19||Ear, nose and throat surgery||Out for public comment until 28 April 2013|
|MBS Review 20||Radiation oncology||In development|
|MBS Review 21||Vitamin D testing||Complete||Public Consultation closed on 25 March 2013|
|MBS Review 22||Vitamin B 12 testing||Complete||Public Consultation closed on 25 March 2013|
- Demonstration Reviews of Existing MBS Items
Four demonstration reviews commenced in 2010. The primary focus of the reviews is quality-related issues with the key objective of identifying and evaluating current MBS services which are potentially unsafe, ineffective, or inappropriately used.
- Colonoscopy Review
- Obesity Review
The purpose of this review is to evaluate current evidence and clinical best practice relating to Medicare Benefits Schedule (MBS) items for the surgical interventions for the treatment of obesity.
- Ophthalmology Review
The primary focus of the review is to align Medicare-funded ophthalmology services with available evidence, and to ensure service delivery is targeted to the most appropriate patient groups.
- Pulmonary artery catheterisation Review
Page currency, Latest update: 12 March, 2013
When accessing large documents (over 500 KB in size), it is recommended that the following procedure be used:
- Click the link with the RIGHT mouse button
- Choose "Save Target As.../Save Link As..." depending on your browser
- Select an appropriate folder on a local drive to place the downloaded file
Attempting to open large documents within the browser window (by left-clicking)
may inhibit your ability to continue browsing while the document is
opening and/or lead to system problems.
To view PDF (Portable Document Format) documents, you will need to have a PDF reader installed on your computer. A number of PDF readers are available through the Australian Government Information Management Office (AGIMO) Web Guide website.