Allied Health Insurance Online :: News
SHARE

Share this news item!

AMA Advocates for Regulatory Reforms to Curb Health Insurers' Market Power

Addressing the Impact of Insurers' Dominance on Patient Care and Costs

AMA Advocates for Regulatory Reforms to Curb Health Insurers' Market Power?w=400

The information on this website is general in nature and does not take into account your objectives, financial situation, or needs. Consider seeking personal advice from a licensed adviser before acting on any information.

The Australian Medical Association (AMA) has recently highlighted concerns regarding the substantial market power wielded by private health insurers and its potential adverse effects on patient care and healthcare costs.
In a position statement released on 4 February 2026, the AMA emphasised the need for regulatory reforms to prevent insurers from exploiting their dominant positions in the healthcare sector.

According to the AMA, the current regulatory framework permits private health insurers to engage in practices that may limit patient choice, increase out-of-pocket expenses, and compromise the quality of care. These practices include imposing restrictive contracts on medical practitioners and influencing clinical decisions, thereby undermining the autonomy of healthcare providers and the rights of patients.

Dr Danielle McMullen, President of the AMA, stated that the lack of regulation in contracts between insurers and medical practitioners has been overlooked by successive governments. She expressed concern that this oversight negatively impacts patient choice, quality of care, and the clinical autonomy of doctors in private practice.

The AMA's call for action underscores the importance of establishing a more balanced relationship between private health insurers and healthcare providers. By implementing appropriate regulatory measures, the aim is to ensure that insurers do not misuse their market power to the detriment of patients and the broader healthcare system.

For healthcare professionals, particularly those in the allied health sector, these developments are significant. The AMA's advocacy for regulatory reforms seeks to protect the interests of both practitioners and patients, promoting a healthcare environment where quality care is prioritised over corporate interests.

As the situation evolves, it is crucial for healthcare professionals to stay informed about potential regulatory changes and their implications. Engaging with professional associations and staying abreast of industry developments will be essential in navigating the shifting landscape of private health insurance and its impact on the healthcare sector.

Published:Saturday, 14th Feb 2026
Author: Paige Estritori

Please Note: We do not endorse any specific products or companies. Some content is sourced from third parties, including press releases, and may not be independently verified for accuracy or completeness.

Share this news item:

Rate this article

0 Comments

No comments yet. Be the first to share your thoughts.

Insurance News

New workforce strategy signals insurance review points for allied health
New workforce strategy signals insurance review points for allied health
25 Aug 2026: Paige Estritori
The Australian Government’s new National Allied Health Workforce Strategy is not an insurance document, but it should still be read closely by allied health practice owners. Its emphasis on workforce capacity, access, team-based care and more flexible service delivery points to a sector that is continuing to change how, where and by whom care is provided. - read more
Why AHPRA Renewal Season Should Trigger an Insurance Review
Why AHPRA Renewal Season Should Trigger an Insurance Review
18 Aug 2026: Paige Estritori
AHPRA’s annual registration renewal cycle is more than an administrative deadline for allied health practitioners. It is also a practical reminder that registered health professionals must be able to confirm they have appropriate professional indemnity arrangements for the work they perform. For practice owners, contractors and clinicians working across multiple settings, that declaration should not be treated as a simple tick-box exercise. - read more
What NDIS Provider Reform Could Mean for Allied Health Insurance
What NDIS Provider Reform Could Mean for Allied Health Insurance
11 Aug 2026: Paige Estritori
Australia's continuing NDIS reform process is becoming more relevant for allied health practices that deliver therapy, assessment, behaviour support or capacity-building services to participants. The latest public updates point towards a more risk-based provider registration framework, with closer attention to participant safety, complaints handling, incident reporting and the way services are delivered across different provider types. - read more
Why APRA’s Latest Insurance Snapshot Matters for Clinics
Why APRA’s Latest Insurance Snapshot Matters for Clinics
31 Jul 2026: Paige Estritori
APRA’s latest general insurance performance update points to a market that is in better shape than it was during the recent period of severe claims inflation, reinsurance pressure and weather-related volatility. For allied health practice owners, that is useful context, but it should not be read as a guarantee that every renewal will become cheaper or easier. - read more
Why AI Governance Now Matters for Allied Health Cover
Why AI Governance Now Matters for Allied Health Cover
24 Jul 2026: Paige Estritori
Recent insurance industry reporting on AI accountability should be read carefully by allied health practices, not just large insurers. The issue is simple: organisations are adopting AI tools faster than they can explain who is responsible when the tool produces an error, uses the wrong data or influences a decision that later causes harm. - read more


Professionals Insurance Articles

Insuring Your Practice: Key Considerations for Australian Health Care Workers
Insuring Your Practice: Key Considerations for Australian Health Care Workers
Income protection insurance is a safeguard for your financial stability, designed to provide peace of mind when you most need it. As a healthcare professional, you’re dedicated to caring for others, but it’s essential to protect your own income against unexpected events. - read more
Understanding the Legal Risks: The Role of Professional Indemnity Insurance in Healthcare
Understanding the Legal Risks: The Role of Professional Indemnity Insurance in Healthcare
Professional indemnity insurance is a specialised form of coverage designed to protect professionals against claims of negligence or misconduct. It offers financial protection for professionals accused of breaching their professional duties, ensuring their legal costs are covered. - read more
Common Myths About Indemnity and Liability Insurance Debunked
Common Myths About Indemnity and Liability Insurance Debunked
Welcome healthcare professionals! Today, we're exploring a topic that's often misrepresented and misunderstood: indemnity and liability insurance. These forms of insurance are designed to protect your professional reputation and your financial well-being. However, it's crucial to have a solid grasp of these terms to truly benefit from them. - read more
Understanding Professional Indemnity Insurance for Australian Health Care Professionals
Understanding Professional Indemnity Insurance for Australian Health Care Professionals
Professional Indemnity Insurance is a type of coverage designed to protect professionals from claims made against them due to errors, omissions, or acts of negligence in their professional services. Unlike general liability insurance, which covers physical damage, professional indemnity focuses on financial liability. This insurance safeguards your reputation and financial stability by covering legal costs and any settlements or compensation you might have to pay. - read more
Future Trends in Mobile Services Insurance: What Health Care Providers Need to Know
Future Trends in Mobile Services Insurance: What Health Care Providers Need to Know
Mobile services have dramatically transformed the healthcare industry, reshaping how professionals deliver care and interact with patients. With the advent of telemedicine and mobile health apps, accessing healthcare has never been more convenient. This evolution has significantly influenced patient outcomes, making healthcare more accessible and immediate. - read more

Knowledgebase
Deductible:
The amount you must pay out-of-pocket for expenses before your insurance company covers the remaining costs.