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Medicare IT System Gets Clean Bill of Health

by Staff Writers •
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Medicare Australia’s IT operations were examined during a recent audit by the Australian National Audit Office (ANAO). The report, Accuracy of Medicare Claims Processing, found that that the mainframe-based IT systems performed well, despite being relatively unchanged since the inception of the agency in the mid1980’s.

The objective of the audit was to examine the accuracy of Medicare claims processing, including the adequacy and operation of relevant processing systems. It found that Medicare is able to process almost all claims (98.9%) automatically, and that the IT systems are capable of adequately supporting current Medicare processing requirements, and generally do, despite the use of older technology.

Medicare Australia is part of the Department of Human Services. It is responsible for delivering subsidies for medical and hospital services that were worth almost 12 billion 2006-07.

Dealing with more than 21 million people, and processing 256 million claims in 2006-07, the Medicare claims processing system is one of the highest volume transaction systems in Australia.

Agency Profile: Medicare

Intermedium maintains an agency profile for Medicare, along with 16 other Federal Government agencies. Key information contained in the Medicare profile includes:

  • IT infrastructure outsourcing arrangement with IBM
  • Top 10 suppliers
  • Expiring contracts
  • ICT budgets and major projects
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