Episode 67: The November Choice: One Decision That Will Define Your Practice for the Next Decade

Scale My Clinic

With major Medicare bulk billing reforms landing this November, clinic owners face a critical decision: go all-in with universal bulk billing or double down on a premium model.

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In this episode, Dr Sachin Patel and Dr Todd Cameron unpack the real implications of the government’s triple bulk billing incentive, including compliance traps, recruitment challenges, and the long-term financial consequences.

Whether you’re considering switching, staying the course, or finding a middle ground, you’ll get practical strategies to protect your margins, retain your autonomy, and position your clinic for sustainable growth.

If you’re feeling the pressure and need clarity before the changes hit, this conversation is a must-listen.

In this episode of the Scale My Clinic Podcast, you’ll learn:

• Understand the triple bulk billing incentive and its real obligations for GPs and clinics (00:31)
• Why bulk billing impacts service quality and how price and quality positioning affects your business model (05:47)
• The hidden costs: compliance risks, admin overload, and shrinking margins over time (12:51)
• Patient behaviour shifts when you move to bulk billing (18:16)
• How to strengthen a premium billing model (27:14)
• Four domains to differentiate your clinic (33:15)

Watch the Practice Success Blueprint Training

The proven roadmap GP Owners use to grow profits, reclaim time, strengthen teams, and protect their legacy: https://smc.expert/practice-success-blueprint-pc

Missed the previous Episode?

Listen to Episode 66 here: He Wasn’t a GP But He Used the Clinic’s Cash Flow to Build a Property Empire