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Career and Leadership

Private Health Insurance and Bill Shock–The Dialogue Podcast

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The next instalment of the Dialogue Podcast series explores how a simple innovative addition to private health insurance (PHI) can alleviate 'bill shock' and reduce out-of-pocket costs for those diagnosed with cancer.

In the podcast, Ignatius Li (Partner at Deloitte) questions Anthony Lowe (former CEO of the Prostate Cancer Foundation of Australia) and Jamie Reid (Principal at Finity Consulting) on the recommendations and research in their Dialogue thought leadership paper 'Private Health insurance Bill Shock: What Can Insurers Do to Help?'.

In the paper, Anthony and Jamie extrapolate on the surprising and distressing impact of out-of-pocket costs for those with PHI facing a cancer diagnosis.

The pair argue that the knowledge gap on this issue between the public and industry insiders is wide. Anthony clarifies the varied reasons why this is so:

Currently PHI does not cover many of the  factors that drive current treatment costs including:

  • Medicare pricing
  • New technology
  • Bureaucratic hurdles
  • Ancillary expenses (travel, medical costs)

Jamie and Anthony suggest additional innovation is needed, in the form of legislative change that would allow private health insurers to pay a $5,000 lump sum to people diagnosed with cancer. The cost of providing the small lump sum benefit is around $2.30 per person for month.

"Any rise in premiums requires considerable scrutiny," said Jamie. "But providing additional benefits, particularly following a life-changing diagnosis, adds significant value to PHI."

Listen in to find out more on Anthony and Jamie's research and innovative recommendation.

Download Transcript here.

Access the Paper and Media Release here .

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About the authors
Ignatius Li
Ignatius is a Partner at Deloitte Actuaries and Consultants. He specialises in health and is also the current convenor of the Institute's Health Practice Committee
Dr Anthony Lowe
Anthony is a Non-Executive Director, Actuaries Institute Council Member, and the former CEO of an NDIS service provider. He was previously CEO at Prostate Cancer Foundation of Australia, co-lead of the National Health and Medical Research Council Centre of Research Excellence in Prostate Cancer Survivorship, and Adjunct Associate Professor at Griffith University. He holds a PhD in quantum field theory.
Jamie Reid
Jamie works for Finity and is the appointed actuary of a number of health insurers. Jamie keeps busy outside work as Dad to three small children and a part-time sheep farmer.