
Clinic bills set to soar: Doctors warn of 30pct hike under new pricing rule
PETALING JAYA: Private medical practitioners have warned that treatment charges at clinics and hospitals could rise by as much as 30 per cent due to the enforcement of a new pricing directive.
The Federation of Private Medical Practitioners' Associations Malaysia (FPMPAM) said that patients would bear the brunt of the cost increase, as clinics were now required to itemise charges that were previously bundled under a single fee.
Its president Dr Shanmuganathan T.V. Ganeson said that the new rule disrupted the existing billing system, in which consultation, treatment, and medication were charged together.
"Clinics now have to unbundle costs, including operating expenses, which must be separately listed on the bill," said Dr Shanmuganathan.
According to Utusan Malaysia, estimates suggest that patient charges could rise by between 10 and 30 per cent, depending on the type of treatment and medication. In some cases, a standard consultation may cost RM10 to RM30 more than before.
On May 6, some 200 doctors gathered at Laman Perdana near Perdana Putra in Putrajaya to protest the new directive.
The group assembled at 9.30am before a 10-member delegation, led by Malaysian Medical Association (MMA) representative Datuk Dr R. Thirunavukarasu, entered the Prime Minister's Office to submit a memorandum.
The protesters urged the government to review Act 723 and place regulation of medical practice solely under the Private Healthcare Facilities and Services Act 1998 (Act 586), which they argued was sufficient for the sector.
While protests continue, most private clinics have already begun displaying medicine prices, as required. Bundled billing remains in place at many clinics for the time being, pending a decision from the Health Ministry.
Patients may begin to see higher bills as early as August if no changes are introduced during the grace period.
"Once the grace period ends, clinics will be required to provide a full breakdown of all charges," Dr Shanmuganathan said.
The price display requirement, gazetted on May 1, falls under the Price Control and Anti-Profiteering Act 2011 (Act 723) and is enforced by the Domestic Trade and Cost of Living Ministry. It applies to all private clinics, hospitals, and pharmacies.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


New Straits Times
19 hours ago
- New Straits Times
GPs: Outdated fees make practice a hard pill to swallow
KUALA LUMPUR: Outdated consultation fees and rising operational costs are squeezing general practitioners (GPs), forcing them to see more patients daily just to stay afloat. Consultation fees are regulated under Schedule 7 of the Private Healthcare Facilities and Services Regulations. The fees were last revised in 1992, before construction of the Petronas Twin Towers, and are fixed between RM10 and RM35. The government is currently studying a possible increase. Federation of Private Medical Practitioners' Associations Malaysia president Dr Shanmuganathan T.V. Ganesan said a typical clinic needed at least RM40,000 a month to operate. This covers rent, wages, utilities, maintenance, medical supplies and statutory contributions, excluding the GP owner's or doctors' salaries and loan repayments. Dr Shanmuganathan said based on a flat RM30 consultation fee per patient, and excluding revenue from medicine or additional services, a GP would need to see about 53 patients a day to break even — nearly three times the actual average. "Unfortunately, consultation fees are no longer sufficient to sustain clinic operations. "Rising costs in wages, medical consumables, digital systems and regulatory compliance, especially with new price display mandates, have compounded the financial burden," he told the New Straits Times. The Malaysian Medical Association has called for a minimum RM60 consultation fee. On Thursday, the association urged the government to expedite cabinet approval for the revised rates, warning that continued delays could threaten the survival of private clinics nationwide. On May 3, Health Minister Datuk Seri Dr Dzulkefly Ahmad indicated that revisions would be finalised within a month. Dr Shanmuganathan said many patients required time-consuming consultations, counselling and emergency care, services that are often uncompensated. Clinics are also required to stock life-saving medications, many of which have short shelf lives and go unused. Former Johor assemblyman and practising GP Dr Boo Cheng Hau said a sustainable clinic needed to see at least 15 patients a day, five to six days a week, charging RM70 to RM100 per visit, including medication. He said the public must be educated on what constitutes a fair consultation fee. "For instance, for uncomplicated cough and cold cases, the market price in my area is about RM70 to RM80, inclusive of consultation and medication." he said. "Often, doctors have to lower their consultation fees to meet market demand, as medication costs exceed the consultation fee itself." PROFITS FROM MEDICINES Dr Shanmuganathan said many clinics were not operating on conventional "profits", as current consultation fees alone cannot sustain operations. To stay afloat, clinics often rely on modest profits from medicine sales. "This is not profiteering, but a pragmatic workaround in a system that restricts doctors from transparently charging for other professional services, such as nursing care, regulatory compliance, equipment use or consumables," he said. He estimated that a clinic spending RM12,000 per month on medicine stock might generate RM15,000 to RM17,000 in revenue, leaving a slim profit margin of RM3,000 to RM5,000. Additional revenue comes from procedural fees, health screenings and medical report preparation, but these are irregular and often underpriced due to market pressure. Dr Shanmuganathan said the recent implementation of medicine price display mandates had worsened matters. The Galen Centre for Health and Social Policy previously warned that the rule could lead more consumers to request prescriptions and buy medicines at lower prices from pharmacies. Its chief executive, Azrul Mohd Khalib, said while patients had every right to do so, this trend could undermine clinics' sustainability, as consultation fees remained low. "GPs hesitate to itemise every charge — nursing, registration, equipment use — for fear of alienating patients or appearing to overcharge," he said. AN ALTERNATIVE SOLUTION Both Dr Shanmuganathan and Dr Boo said Malaysia should adopt a national health scheme to address the crisis. In the United Kingdom, the National Health Service is funded primarily through general taxation, supported by National Insurance contributions. These fund services such as GP visits, hospital care and prescriptions. In November 2023, then health minister Datuk Seri Dr Zaliha Mustafa said Malaysia was exploring a national health insurance scheme involving contributions from employees, employers and the government. However, it has yet to materialise. Dr Boo said insurance policies must also cover outpatient management and GP visits, not just hospitalisation. He urged the government to raise its health spending from four per cent of the gross domestic product to between five and 10 per cent, in line with advanced nations. Dr Shanmuganathan added that such a scheme was necessary to strengthen healthcare financing and service delivery. He also proposed revising the GP consultation fee range to between RM50 and RM100, depending on case complexity. "It is important to recognise that these fees represent payment for the doctor's professional services and should not be subject to arbitrary discrimination," he said. "Doctors with the same qualifications should be paid fairly and equitably for the same scope of work."


Focus Malaysia
a day ago
- Focus Malaysia
Delay on GP fee review: 'Face realities on the ground,' NACCOL told
A DOCTORS' group has expressed disappointment over the government's failure to to revise private general practitioners' (GP) consultation fees as promised. 'We note with deep disappointment that the Health Minister's promise to finalise the long-overdue review of private GP consultation fees within a month has now passed without action,' said Federation of Private Medical Practitioners' Associations, Malaysia (FPMPAM) president Dr Shanmuganthan TV Ganeson. 'Private GPs have been self-funding the essential primary care system for decades. Yet we remain shackled by consultation fees that have not changed in 33 years, while regulations and compliance costs continue to rise.' Recall that Health Minister Datuk Seri Dzulkefly Ahmad told reporters on May 3 that the issue about GP consultation fees would be resolved 'within one month at the latest', adding that he had already prepared a Cabinet memorandum and circular. During Dzulkefly's May 3 press conference, the Health Minister claimed that the National Action Committee on the Cost of Living (NACCOL) had already agreed to a review of GP consultation fees. 'The Malaysian Medical Association and other GP bodies have presented a clear, evidence-based case for a fee update that ensures the sustainability of primary care clinics and the quality of care for our patients,' Dr Shanmuganathan said. 'We understand that NACCOL has raised concerns about the impact of the fee update. We want to remind NACCOL that these concerns are misplaced. 'Patients who visit GPs choose to do so for immediate, quality care—often to avoid hospital queues and costly specialist visits. They are willing to pay a fair fee for this timely service. 'Past analyses by NACCOL itself showed no significant impact on the Consumer Price Index, even with proposed fee updates as far back as 2019.' Moreover, Dr Shanmuganathan noted that third-party administrators have for too long suppressed GP consultation fees for corporate profit, while the Pharmaceutical Services Division, certain pharmacy groups, and even Pharma Corporations have lobbied to undermine the integrated GP clinic model that has served Malaysians well for over 60 years. 'The government must not hide behind a narrative that keeping GP fees artificially low somehow serves the public good,' he stressed. 'In reality, it threatens the survival of primary care—the most cost-effective part of our healthcare system—and shifts costs to patients in other ways. 'NACCOL must face these realities. It must not deny GPs the means to sustain their practices and continue serving communities effectively. 'We call on the Health Minister to honour his promise and on NACCOL to remove its obstacles and allow this long-overdue correction. Anything less is a disservice to GPs and the communities we care for daily.' ‒ June 6, 2025 Main image: The Straits Times


New Straits Times
7 days ago
- New Straits Times
Part-time journalists call for basic health protection ahead of Hawana 2025
MELAKA: Working without a fixed income and often clocking in extra hours just to make ends meet—this is the harsh reality faced by many part-time journalists in Malaysia. Despite receiving no formal benefits or job security, these media professionals continue to contribute to the industry with dedication, all while hoping for at least basic health protection as a token of appreciation for their role in national journalism. Part-time journalist with Utusan Malaysia, Amran Ali, 52, said he and others in similar roles hope for access to an affordable medical scheme, ideally covering them until the age of 70. "Although we are not permanent staff, the work and risks we take on are no different from those faced by full-time journalists, including assignments in remote or difficult-to-reach areas. "Some of us work without annual leave, EPF contributions, or any form of medical coverage," he told Bernama. Amran expressed hope that the upcoming National Journalists' Day (Hawana) 2025 would serve as a platform to amplify the voices of part-time journalists, who are seeking support mechanisms such as health contributions, emergency aid funds, or access to clinic treatment cards. Echoing his views, Meor Riduwan Meor Ahmad, 49, urged the government to consider a dedicated initiative to provide registered part-time journalists with at least basic benefits, such as accident insurance. "I believe safeguarding the welfare of part-time journalists will improve the quality of reporting and help formally recognise their role while providing a safer work environment," he said. Currently, the Tabung Kasih@Hawana fund, introduced during the Hawana 2023 celebration, assists active and retired media practitioners in need of help or facing health challenges. The initiative, led by the Ministry of Communications, is implemented through the Malaysian National News Agency (Bernama). At the Hawana 2024 celebration in Kuching, Sarawak on May 27 last year, Prime Minister Datuk Seri Anwar Ibrahim announced an additional RM1 million allocation for the fund this year. Communications Minister Fahmi Fadzil also announced that, starting July 2024, all part-time media personnel will receive a one-year Perkeso (Social Security Organisation) contribution, fully funded by Bernama. The highlight of Hawana 2025 is scheduled for June 14 at the World Trade Centre Kuala Lumpur (WTC KL), where the Prime Minister will officiate the event. Around 1,000 media professionals from Malaysia and abroad are expected to attend. Organised by the Communications Ministry, with Bernama as the implementing agency, the celebration features a series of events including a pantun festival held yesterday, a pre-launch ceremony with strategic partners at Wisma Bernama this Tuesday, and a media forum co-hosted with the Malaysian Press Institute (MPI) on June 14.