Australia may scrap its private health insurance rebate and instead pay hospitals directly regardless of whether patients go through the public or private system, the Daily Telegraph reported, citing Council of Australian Governments documents.

The 30 percent rebate was introduced in 1999 and its cost to government has risen to A$6 billion ($4.3 billion) in the past year, from A$1.4 billion in 1999-2000, the newspaper said.

Health Minister Sussan Ley confirmed the option was “on the table” along with other options as part of a review of the system, the newspaper said.

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