Australian Doctor 10th May issue 2024 | Page 2

2 NEWS

2 NEWS

10 MAY 2024 ausdoc . com . au

New fears over indemnity costs

Some specialists face 40 % premium increases .
have a strong and exemplary record of patient care , they are seeing similar rates to those with a reasonable number of claims because they
work in a high-risk specialty where
Rachel Carter THERE are new concerns about
claims are potentially an inevitability of care .
medical indemnity premium
“ You could be a practitioner with
hikes , with some specialties seeing
a perfect record , you ’ ve never had
increases of 20-40 % year-on-year .
a claim against you , and what you
Neurosurgery , bariatric surgery
are seeing is significant increases
and obstetrics were worst affected .
because the insurers are targeting a
AMA NSW president Dr Michael
specific specialty .”
Bonning said while private practi-
AMA NSW has suggested that a
tioners could “ probably stomach ”
number of specialists have shifted
two years of a 20 % increase , they
away from subspecialties to reduce
would not be able to sustain this
their premiums .
longer-term .
But it has initiated discussions
“ If we ’ re sitting five years down
with the major medical defence
the track and your premium has
organisations to understand what
actually more than doubled and you ’ re looking at more like 220 %
Dr Michael Bonning .
they are experiencing and where the cost escalation is coming from .
of your original premium , that ’ s a
Dr Bonning said they claim that ,
really big change ,” he said .
negligence cases surged , forcing the
There are also questions about
their workload in private practice
on average , premiums are not going
The larger increases mirror
Federal Government to intervene
whether the indemnity system is
after working at a high level for
up very much .
some of those that began to surface during the indemnity crisis 25 years ago , when thousands of doctors faced losing the right to practise following the near collapse of indemnity provider United Medical Protection .
with a multi-million dollar support package .
Dr Bonning stressed this time around he was less concerned about failure of providers than “ changes to the private practice environment ”.
In some cases , the increases have
‘ You may find yourself locked into a certain kind of practice .’
decades .
“ If your insurance is now consuming not an insignificant amount — say 10-15 % of your gross billings — you may find yourself locked into a certain kind of practice ,” Dr Bonning said .
“ But one of the problems of averages is that it can hide important detail ,” he said .
A spokesperson for Avant said that “ limited specialties ” had experienced double digit increases but this reflected a significant increase
At the time it was unable to
already led doctors to move out of
working “ fairly and appropriately ”
“ We ’ re hearing from many of our
in the “ frequency and severity ” of
cover its liabilities as high-cost
subspecialties .
for doctors to be able to reduce
colleagues that even though they
claims .
PAGE 4

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