Scale My Clinic

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


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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. 

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)

P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out:

  1. Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [Click here]
  2. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [Click to Register]
  3. Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [Watch Training Now]
  4. Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [Click to Book Your Call]


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

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Scale My ClinicBy Dr. Sachin Patel & Dr. Todd Cameron