Medicare is an unofficial designation used to refer to the publicly funded single-payer healthcare system of Canada. Canada's health care system consists of 13 provincial and territorial health insurance plans, which provide universal healthcare coverage to Canadian citizens, permanent residents, and depending on the province or territory, certain temporary residents. The systems are individually administered on a provincial or territorial basis, within guidelines set by the federal government. The formal terminology for the insurance system is provided by the Canada Health Act and the health insurance legislation of the individual provinces and territories.
Medicare is the publicly funded universal health care insurance scheme in Australia operated by the nation's social security agency, Services Australia. The scheme either partially or fully covers the cost of most health care, with services being delivered by state and territory governments or private enterprises. All Australian citizens and permanent residents are eligible to enrol in Medicare, as well as international visitors from 11 countries that have reciprocal agreements for medically necessary treatment.
Diagnosis-related group (DRG) is a system to classify hospital cases into one of originally 467 groups, with the last group being "Ungroupable". This system of classification was developed as a collaborative project by Robert B Fetter, PhD, of the Yale School of Management, and John D. Thompson, MPH, of the Yale School of Public Health. The system is also referred to as "the DRGs", and its intent was to identify the "products" that a hospital provides. One example of a "product" is an appendectomy. The system was developed in anticipation of convincing Congress to use it for reimbursement, to replace "cost based" reimbursement that had been used up to that point. DRGs are assigned by a "grouper" program based on ICD diagnoses, procedures, age, sex, discharge status, and the presence of complications or comorbidities. DRGs have been used in the US since 1982 to determine how much Medicare pays the hospital for each "product", since patients within each category are clinically similar and are expected to use the same level of hospital resources. DRGs may be further grouped into Major Diagnostic Categories (MDCs). DRGs are also standard practice for establishing reimbursements for other Medicare related reimbursements such as to home healthcare providers.
The Canada Health Act, adopted in 1984, is the federal legislation in Canada for publicly-funded health insurance, commonly called "medicare", and sets out the primary objective of Canadian healthcare policy.
Health insurance or medical insurance is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses. As with other types of insurance, risk is shared among many individuals. By estimating the overall risk of health risk and health system expenses over the risk pool, an insurer can develop a routine finance structure, such as a monthly premium or payroll tax, to provide the money to pay for the health care benefits specified in the insurance agreement. The benefit is administered by a central organization, such as a government agency, private business, or not-for-profit entity.
The Pharmaceutical Benefits Scheme (PBS) is a program of the Australian Government that subsidises prescription medication for Australian citizens and permanent residents, as well as international visitors covered by a reciprocal health care agreement. The PBS is separate to the Medicare Benefits Schedule, a list of health care services that can be claimed under Medicare, Australia's universal health care insurance scheme.
The Australian Medical Association (AMA) is an Australian public company by guarantee formed as a professional association for Australian doctors and medical students. The association is not run by the Australian Government and does not regulate or certify doctors, a responsibility which lies with the Medical Board of Australia and the Australian Health Practitioner Regulation Agency. The association's national headquarters are located in Barton, Australian Capital Territory, in addition to the offices of its branches in each of the states and territories in Australia.
A public hospital, or government hospital, is a hospital which is government owned and is fully funded by the government and operates solely off the money that is collected from taxpayers to fund healthcare initiatives. In almost all the developed countries but the United States of America, and in most of the developing countries, this type of hospital provides medical care free of charge to patients, covering expenses and wages by government reimbursement.
The Department of Health and Aged Care (DHAC), formerly the Department of Health, is a department of the Australian Government responsible for health research, funding, promotion and regulation in Australia. Primary health care and aged care services are overseen by DHAC, while tertiary health services are administered by state and territory governments. The department is responsible for programs such as Medicare, the Pharmaceutical Benefits Scheme, and agencies such as the Therapeutic Goods Administration and the National Health and Medical Research Council.
Health care in Australia operates under a shared public-private model underpinned by the Medicare system, the national single-payer funding model. State and territory governments operate public health facilities where eligible patients receive care free of charge. Primary health services, such as GP clinics, are privately owned in most situations, but attract Medicare rebates. Australian citizens, permanent residents, and some visitors and visa holders are eligible for health services under the Medicare system. Individuals are encouraged through tax surcharges to purchase health insurance to cover services offered in the private sector, and further fund health care.
Alberta Health Services (AHS) is the single health authority for the Canadian province of Alberta and the "largest integrated provincial health care system" in Canada. Headquartered in Edmonton, AHS delivers medical care on behalf of the Government of Alberta's Ministry of Health. It operates 850 facilities throughout the province, including hospitals, clinics, continuing care facilities, mental health facilities and community health sites, that provide a variety of programs and services. AHS is the largest employer in the province of Alberta. In 2019, AHS served 4.3 million Albertans with a staff of 125,000 staff and 10,000 physicians, and an annual budget of $15.365 billion. Sean Chilton is the Acting President and CEO of AHS and reports to Dr. John Cowell, the AHS Official Administrator. The Official Administrator is accountable to the Minister of Health and the Premier.
The Hawke government was the federal executive government of Australia led by Prime Minister Bob Hawke of the Australian Labor Party (ALP) from 1983 to 1991. The government followed the Liberal-National Coalition Fraser government and was succeeded by another Labor administration, the Keating government, led by Paul Keating after an internal party leadership challenge in 1991. Keating was Treasurer through much of Hawke's term as prime minister and the period is sometimes termed the Hawke-Keating government.
Grattan Institute is an Australian public policy think tank, established in 2008. The Melbourne-based institute is non-aligned, defining itself as contributing "to public policy in Australia as a liberal democracy in a globalised economy." It is partly funded by a $34 million endowment, with major contributions from the Federal Government, the Government of Victoria, the University of Melbourne and BHP. It is named after Grattan St, a street next to Melbourne University.
Government-guaranteed health care for all citizens of a country, often called universal health care, is a broad concept that has been implemented in several ways. The common denominator for all such programs is some form of government action aimed at broadly extending access to health care and setting minimum standards. Most implement universal health care through legislation, regulation, and taxation. Legislation and regulation direct what care must be provided, to whom, and on what basis.
Medicine Hat Regional Hospital is a medical facility located in Medicine Hat, Alberta serving a catchment area of 117,000. It has 213 beds.
The Department of Human Services and Health was an Australian government department that had existed between December 1993 and March 1996.
John Michael Dwyer, is an Australian doctor, professor of medicine, and public health advocate. He was originally a Professor of Medicine and Paediatrics, then Head of the Department of Clinical Immunology at Yale University. Returning to Australia, he became Head of the Department of Medicine and the Clinical Dean at the University of New South Wales and Director of Medicine at Sydney's Prince of Wales Hospital, the University's major teaching hospital, for over twenty years. In retirement he is an Emeritus Professor of Medicine of the University. He founded the Australian Health Care Reform Alliance, and was the founding president of the Friends of Science in Medicine until 2019. He was appointed an Officer of the Order of Australia for his service to public health.
The Australian Healthcare and Hospitals Association (AHHA), founded in 1946, is the representative body for the public hospital sector in Australia. It is one of 23 bodies funded from the government's Health Peaks and Advisory Bodies Program.
Louise Maple-Brown is an Australian endocrinologist. She is a clinical researcher at the Royal Darwin Hospital, serving as the hospital's Head of Endocrinology and as NHMRC Practitioner Fellow with the Menzies School of Health Research at Charles Darwin University. She leads a clinical research program within the Wellbeing and Preventable Chronic Diseases division of Menzies with a focus on diabetes in Indigenous Australians and provides clinical diabetes services to urban and remote Northern Territory communities.
Alberta's Ministry of Health is a ministry of the Executive Council of Alberta whose major responsibilities include setting "policy and direction to achieve a sustainable and accountable health system to promote and protect the health of Albertans."
