Doctors demand investigation into PMI fee schedules

clock • 1 min read

The British Medical Association (BMA) has called for the Office of Fair Trading (OFT) to extend its private healthcare market review to include insurers' fee schedules.

Having provisionally decided to refer the market to the Competition Commission (CC) for further scrutiny, the OFT is now considering the responses to its consultation on the subject.

Since the OFT announced its decision, insurance intermediaries and the Federation of Independent Practitioners Organisations (FIPO), which represents doctors and other clinicians involved in private practice, have called for PMI to be included in the CC's work.

They have now been joined by the BMA which represents doctors in all branches of medicine.

The Association said it welcomed the decision to refer the market to the Competition Commission.

However, its Private Practice Committee's (PPC) response to the consulation added that it was disappointed the review will not address insurers' fixed fee schedules for consultants and their restrictive criteria for ‘recognising' practitioners.

It said: "We are disappointed that the report focuses on the relationship between patients and private healthcare providers rather than concentrating on the influence private medical insurers have on the market."

And the PPC called on the Commission to examine its assertion that a published fee schedule contravenes competition policy.

But it said it welcomed the OFT's reference to the need for greater transparency about consultant fee estimates and to prohibiting referral incentives.

The OFT study's findings were seen as particularly damaging to healthcare providers and hospital groups, noting a power bias to hospital networks in certain areas and the hiking of fees if an insurer proposed to add another hospital network to its services.

It also found a lack of easily comparable information available to patients, GPs and health insurance providers on the quality and costs of private healthcare services and that some healthcare providers gave incentives to consultants, such as loyalty payments for treating patients at a particular facility.

More on PMI

Benenden Health names Tom Woolgrove as CEO
PMI

Benenden Health names Tom Woolgrove as CEO

Former CII president

Jaskeet Briah
clock 29 October 2024 • 1 min read
Societal ageing and climate change adding to healthcare challenges
PMI

Societal ageing and climate change adding to healthcare challenges

AXA research shows

Jaskeet Briah
clock 14 October 2024 • 2 min read
To save the NHS we must move away from it
PMI

To save the NHS we must move away from it

Prevention is the key

Tina Woods
clock 30 September 2024 • 4 min read

Highlights

COVER Survey: Advisers damning of protection insurer service levels

COVER Survey: Advisers damning of protection insurer service levels

"It takes longer than ever to get underwriting terms"

John Brazier
clock 12 October 2023 • 5 min read
Online reviews trump price for young people selecting life and health cover

Online reviews trump price for young people selecting life and health cover

According to latest ReMark report

John Brazier
clock 11 October 2023 • 2 min read
ABI members with staff neurodiversity policy nearly doubles

ABI members with staff neurodiversity policy nearly doubles

Women within executive teams have grown to 32%

Jaskeet Briah
clock 10 October 2023 • 3 min read