Why are private clinics hesitant to join the Peka B40 programme?

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Private Clinics Hesitate to Join Peka B40 Programme Due to Unsustainable Fee Structure

Private clinics are reluctant to participate in the Peka B40 programme primarily because the proposed consultation and health screening fees are considered too low to be financially viable. These fees are pegged to the 2006 Fee Schedule, which general practitioners (GPs) argue does not reflect current operational costs and the expenses associated with comprehensive health assessments.
Fees Based on Outdated 2006 Schedule

The fees offered under the Peka B40 programme are mandated to follow the 2006 Fee Schedule, as outlined in the Private Healthcare and Services Act (Regulations) 2006. Specifically, the Seventh Schedule stipulates consultation fees for GPs ranging from RM10 to RM35, and medical examination fees for non-specialists between RM40 and RM200. This adherence to a nearly two-decade-old fee structure is a significant point of contention for private practitioners.
Concerns Over Operational Costs and Further Testing

General practitioners have expressed concern that the stipulated rates are insufficient to cover the costs incurred during health screenings, particularly the expenses associated with further tests at health laboratories. While the Ministry of Health has stated that participating clinics can send samples to private labs registered with PHCorp free of charge, doctors had previously sought a single payment of RM65 to cover initial visits and potential follow-ups, indicating a perceived need for higher remuneration to manage overall patient care expenses.
Historical Disagreements on Fee Rates

The current hesitation is part of a longer-standing disagreement between the government and private practitioners regarding fee rates for public health initiatives. As far back as August of the previous year, there were indications that the Health Ministry might review these rates, acknowledging that the last revision was in 2006. Despite these discussions, the decision has been made to proceed with the 2006 fee schedule for the Peka B40 programme, leading to continued apprehension among private clinics.

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Why are private clinics hesitant to join the Peka B40 programme?

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