2025 Bulk Billing Incentive Changes

This dashboard provides a specific calculation based on historical data to help you decide what to do in response to the changes. 

It is built to answer the question: if the practice continued to provide the same services to the same patients, how might your billings change under the new arrangements?

This dashboard is designed to give you hard numbers and clear projections based on your data, so you can make informed decisions about the future of your practice.

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To navigate to this dashboard, head to the Industry Updates tab > 2025 Bulk Billing Incentive Changes

This article breaks down everything you need to know about the new dashboard and the upcoming changes. You'll learn how these changes might impact your revenue, patient care, and workflow, and find guidance on using the dashboard to get personalised projections.

The sections included in this article are:

• Upcoming changes to Bulk Billing incentives
• Quick Cheat Sheet - Bulk Billing Changes 2025
• Overview tab
  • Overall Effect
  • Billings explained
  • Impact of the Expanded incentive eligbility
  • Impact of Adopting Universal Bulk Billing
  • Billing Category Breakdowns
• Pracitioner tab
• Service Details Tab
• Modelling and Assumptions tab
• Key Takeaways

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Upcoming changes to bulk billing incentives in General Practice

The Australian Government has proposed changes to bulk billing incentives, which are set to roll out on 1 November 2025.
This dashboard analyses historical services and billings at the practice in the selected date range and uses that to calculate what billings might be under the new arrangements.

It goes without saying that the true impact of the changes on practice workflows, patient care, revenue, and costs will depend on many factors beyond the scope of this analysis.
This page is designed to provide some hard numbers to help understand what the changes mean for you.

• Strengthening Medicare with more bulk billing

• More bulk billing — case studies

• Announcement of 50/50 incentive split

⚠️ These calculations do not consider any service fees charged on billings. The results are based on information available at the time. Always review the final legislation before making business decisions.

Please select the appropriate Modified Monash Model (MMM) region from the dropdown on the left to ensure the correct calculations apply to your practice.

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Quick Cheat Sheet — Bulk Billing Changes 2025

Use this dashboard to compare current billings against the two new bulk billing scenarios.
It shows how your revenue may change once the new incentives start on 1 November 2025.

Key Figures to Look At

• All general practice non-referred attendances (GP NRA) will be eligible for an incentive. Universal bulk billing is referring to these attendances only, and not services outside of that category.

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Quick Comparison Example

Potential Gain:
$41,448.65 total difference (includes $13,489.30 BBPIP to GPs + $13,489.30 BBPIP to the practice)

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At a Glance

• Expanded Incentives = Small uplift automatically (based on our example)

• Universal Bulk Billing = Largest revenue increase (based on our example)

• BBPIP (12.5%) = Shared incentive only if all GPs bulk bill

• No service fees or deductions included — check your contracts

• Always confirm with final legislation before making business changes

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Overview Tab: Overall Effect

The announcement includes two key changes that will impact practice revenue:

1. Expanded eligibility for bulk billing incentives — now available to all Medicare-eligible patients, not just concession card holders or those under 16.

2. 12.5% Bulk Billing Practice Incentive Payment (BBPIP) — available where all Practitioners agree to bulk bill all GP Non-referred attendances. This payment is to be split 50/50 between the practice and the GP.

These metrics compare current billings to two different scenarios:

• Expanded incentive availability – what happens when incentives are available to all Medicare patients.

• Universal bulk billing – what happens if the practice adopts full bulk billing and claims the 12.5% BBPIP.

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Example Summary

Difference: $41,448.65
This includes:

• +$14,470.05 in bulk billing incentives in lieu of private gaps

• -$0.00 in lost gap fees

• + 26, 978.60 Combined 12.5% BBPIP

  • $13,489.30 BBPIP paid to GPs

  • $13,489.30 BBPIP paid to the practice

 

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Billings Explained

Billings
Shows the total historical billings at the practice for the selected date range. Used as the baseline for all other calculations.
Example: $289,354.43

Billings with expanded incentive availability
Shows what total billings would be if bulk billing incentives were available for all eligible services.
Example: $295,863.03 — $6,508.60 higher than current billings.

Billings if adopting universal bulk billing
Shows what total billings would be if the practice fully adopted bulk billing. Includes expanded incentive availability, 12.5% BBPIP, and removal of private gap.
Example: $337,311.68 — $47,957.25 higher than current billings.

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Impact of the Expanded Incentive Eligibility

Without any change to billing patterns, practices will still gain additional revenue through expanded eligibility of bulk billing incentive items.

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Impact of Adopting Universal Bulk Billing

If the practice already bulk bills, or adopts universal bulk billing, the financial impact is greater.
There are three main numbers to review:

1. Bulk billing incentives in lieu of private gap – Incentives replacing private gap revenue.

2. Lost gap fees – Any potential revenue reduction from removing private gaps.

3. BBPIP (12.5%) – Incentive available to practices and GPs who commit to universal bulk billing.

The 12.5% BBPIP applies to all GP-NRA billings but is only available if all Practitioners bulk bill.

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 Billing Category Breakdowns

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Practitioner Tab

Shows a breakdown of impact by Practitioner — including how the proposed changes affect individual billings and incentives.

Only key columns are shown by default, but you can reveal additional ones as needed.

🔗 See also: Bulk Billing Changes 2025 – For Practitioners
Learn how individual Practitioners can review their billings and incentives using the My Cubiko dashboard.

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Service Details Tab

Current Service Mix

Breaks down services performed into the four main billing categories.
Shows the effect of the new incentives on each type of service.

Impact on Individual Services

Dive into specific service types to see how the changes affect a typical day or session.

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Modelling and Assumptions Tab

Click “Modelling and assumptions” to review:

• The purpose of the model

• Assumptions and calculation logic

• Limitations of the current dataset and projections

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Key Takeaways

• The dashboard models both expanded incentive eligibility and universal bulk billing impacts.

• The 12.5% BBPIP can represent a significant increase in total billings for practices adopting universal bulk billing.

• Actual results depend on service mix, Practitioner participation, and regional incentive eligibility.