The hodgepodge of specialist Medicare attendance items should be scrapped and replaced with GP-style time tiers, an MBS Review Taskforce committee has recommended.

The review’s specialist and consultant physician clinical committee has proposed a comprehensive revamp of funding for specialist consults, arguing reform is needed to remove funding inconsistencies between different craft groups.

In its report, released last month, it calls for a move away from higher rebates for initial consultations.

It also wants the additional payments for complex planning to be scrapped.