Private Healthcare Australia released their latest Annual Hospital High Claims 2022 Report which analyses the nature and magnitude of hospital treatment high claims paid by Health Funds over the past 12 months ending December 2021 and is collated using data from 34 health funds representing 100% of the private
health insurance industry in Australia.
In 2021, the private health insurance sector paid out 382,400 hospital claims on behalf of members where the benefit payment for the episode of care exceeded $10,000. This represents an increase in the number of hospital high claims on the previous reporting year of 6.7% (an additional 24,025 hospital high claims), with total hospital benefits paid for these claims exceeding $7.8 billion (a 6.3% increase from 2020 and a 3% increase from pre-pandemic 2019).
Hospital high claims represented 48.1% of total hospital benefits (0.2 percentage points increase on pre-pandemic 2019) paid out by health insurers on behalf of members for hospital treatments during 2021.
- PHA Annual Hospital High Claims Report 2022. Private Healthcare Australia. August 2022.