Health Insurance Market in Australia 2012-2016

Health Insurance Market in Australia 2012-2016

Category : ICT & Media

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Health Insurance market in Australia is expected to grow at a CAGR of 10.11 percent over the period 2012-2016. The healthcare system in Australia is quite a robust model which lays focus on health as well as social well-being. Healthcare in the country is provided majorly by the public sector, followed by the private sector. The Australian government accounts for a Commonwealth form with six states and two territories. The Commonwealth is funded by the government with a focus on the development of national health policies, regulations, and funding. The Commonwealth looks after the governance of the healthcare system. The execution, oversight, and regulation of public health services as well as healthcare providers come under their purview. One of the key factors contributing to this market growth is the healthy competition in the market and good governance structure practiced by the regulatory bodies. The Health Insurance market in Australia has also been witnessing the continued support of Government in order to encourage the use of private health insurance. 
The key players in the market are Medibank Private Ltd., Bupa Australia, and Hospital Contributions Fund of Australia Ltd. Fund. 
Other players listed in this report are Defense Health Ltd., Newcastle Industrial Medical Fund, Australian Health Management, Australian Unity Health Ltd. Fund, Teachers Health Fund, National Health Benefits Australia Pty, Hospital Contributions Fund, Geelong Medical and Hospital Benefits Association, Hospital Benefit Fund, Westfund, Peoplecare Fund, RT Health Fund, Grand United Corporate Health, Latrobe, Healthguard Health Benefits Fund Ltd., Commonwealth Bank Health Society, Navy Health Fund, Cessnock District Health Benefits Fund, ACA Health Benefits Fund Ltd., Phoenix Health Fund Ltd., Doctors Health Fund, Credit Union Australia, ACA Health Benefits Fund Ltd., Credit Union Australia, Reserve Bank Health Society Ltd., Health Care Insurance Ltd., Mildura District Hospital Fund Ltd, St. Luke’s Health Insurance Ltd, Health Partners Private Health Fund, Queensland Country Health Fund, Transport Health, Health Insurance Fund of Australia Ltd., Queensland Teachers' Union Health Fund, and Police Health Ltd.



02. Status of Health Insurance Market in Australia 

02.1 Market Overview 

02.1.1 Medicare in Australia

02.2 Pharmaceutical Benefits Scheme 

02.3 Private Health Insurance 

02.4 Market Size 

03. Geographical Status of the Market 

03.1 Demand Side Market Segments 

03.2 Supply Side Market Segments 

03.3 What is the Incentive for Taking Up Private Health Insurance? 

04. Funding Mechanism 

04.1 Public Health Insurance Services 

04.2 Private Health Insurance Services 

04.3 Hospital Treatment Services 

04.4 General Treatment Services 

04.5 Medical Services 

05. Benefits Paid 

05.1 Hospital Treatment Benefits 

05.2 General Treatment Benefits 

06. Regulatory Framework 

07. Why and Why Not... 

08. Key Players in the Industry 

09. Way Forward… 

10. Annex 

10.1 Hospital 

10.2 Medical Services and General Treatment 

10.3 Pharmaceutical 

10.4 Ambulance 

11. Other Reports in this Series 

List of Exhibits

Exhibit 1: States and Territories in Australia 1

Exhibit 2: Key Stakeholders in the Health Insurance Industry in Australia 2

Exhibit 3: Total Health Expenditure Per Person Per Year in Australia (US$ billion) 4

Exhibit 4: Average Number of Medical Services Processed Per Person 6

Exhibit 5: Percentage of People with Private Health Insurance 8

Exhibit 6: Growth in the Revenue of the Private Health Insurance Market to reach US$25.5 billion by 2016 (US$ billion) 9

Exhibit 7: Distribution of Policies Across Australia 11

Exhibit 8: Total Charges met for Privately Insured Services 2012 14

Exhibit 9: Total Charges met for Hospital Treatment Services 2012 15

Exhibit 10: Total Charges met for General Treatment Services 2012 16

Exhibit 11: Government Caters to a Major Portion of the Medical Services 2012 17

Exhibit 12: “Sense of Being Medically Secured” Recognized as one of the Major Reasons for the Uptake in Private Health Insurance 20

Exhibit 13: “Lower Affordability” Recognized as a Major Reason for not Taking Up Private Health Insurance 20


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