Advertisement, doctors were told the facility would be profitable in the first year of operation, based on assumptions that 782 total joint replacements and 1069 other orthopaedic procedures were completed in the first year, which increased to 1283 and 1758 procedures respectively in the third year.
“What they’ve done is they’ve removed the explicit KPI. But surely, there is an implicit KPI, an unwritten KPI, which is the drive to maximise profit.” “When you have those grey zones and in the back of your mind you’re trying to fill an empty room, that’s a conflict.” “Doctors generally have a vested interest in the private set-up. This is inherent in our private health sector which supplements the public health sector. This venture is not unique,” the lawyers said.In a statement, a Medibank spokesperson said there were no “volume-related clinical KPIs” or “any KPIs” in place but did not answer questions about how potential conflicts of interest with doctors owning the surgery would be managed.
“MUH is not a party to agreements between surgeons and private health insurers and therefore cannot make any comment on the contents of any such agreement. However, MUH would not accept KPIs to maximise surgeries at the new short-stay centre.”
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