AR-DRG Version 9.0 Final Report
AR-DRG Version 9.0 was approved by the Pricing Authority in November 2016. Development of Version 9.0 was finalised following clinical and statistical analysis and in consultation with clinicians, jurisdictions and other health sector stakeholders. It will be used for pricing admitted acute episodes of care from 1 July 2018.
The AR-DRG Version 9.0 final report details the changes and rationale for the refinement process.
This document provides the technical specifications for how the Independent Hospital Pricing Authority (IHPA) developed the Activity Based Funding (ABF) models for the service streams to be funded for the National Efficient Price (NEP) and the National Efficient Cost (NEC) Determinations for 2017-18.
The Independent Hospital Pricing Authority (Pricing Authority) is established under the National Health Reform Act 2011 (Cth) (the Act), and by virtue of section 131(1) of the Act is invested with the following functions relevant to this 2017-18 National Efficient Cost Determination (Determination):
The Independent Hospital Pricing Authority (Pricing Authority) is established under the National Health Reform Act 2011 (Cth) (the Act), and by virtue of Section 131(1) of the Act is invested with the following functions relevant to this National Efficient Price (NEP)
Determination 2017-18 (Determination):
The Pricing Framework 2017-18 builds on the Pricing Frameworks from previous years (2012-13, 2013-14, 2014-15, 2015-16, 2016-17). For simplicity, where IHPA has reaffirmed a previous principle, the supporting argument has not been restated in this year’s paper.
The Independent Hospital Pricing Authority (IHPA) engaged Ernst & Young (EY) to examine trends in the number of privately insured patients being treated in public hospitals and to identify factors contributing to observed trends to assess what impact, if any, the national ABF model has had in the utilisation of private health insurance by patients in public hospitals.
National Hospital Cost Data Collection, Independent Financial Review, Round 19 (Financial year 2014-15)2 March 2017
The National Hospital Cost Data Collection (NHCDC) is the primary data collection that the Independent Hospital Pricing Authority (IHPA) relies on to calculate the National Efficient Price used for the funding of public hospital services. To ensure that the quality of NHCDC data is robust and fit-for-purpose, IHPA commissions an independent financial review to assess whether all participating hospitals have included appropriate costs and patient activity.
National Hospital Cost Data Collection, Public Hospitals Cost Report, Round 19 (Financial year 2014-15)2 March 2017
This NHCDC Australian Public Hospitals Cost report includes the results of participation across the various jurisdictions. The reports investigates a number of specific questions relating to hospital costs for admitted, non admitted and emergency department services. The report includes jurisdiction level data and the national cost weight tables.
The IHPA Annual Report for 2015-16 was tabled on 17 October 2016.
The Financial Statements in in the Financial Management section cannot be reproduced in an accessible format. If you need help accessing financial information from the report, please contact IHPA.
The purpose of this costing study was to undertake a Teaching, Training and Research (TTR) cost and activity data collection at a representative sample of Australian hospitals and produce costed data to inform the development of a TTR classification.
National Hospital Cost Data Collection, Data Request Specifications, Round 20, (Financial year 2015-16)21 September 2016
The National Hospital Cost Data Collection (NHCDC) Data Request Specifications (DRS) list the data elements to be submitted to IHPA and include the validation rules which will be applied to the data on submission.
This document provides information for clinicians to enable them to assess phases accurately when applying the new concept of mental health phase of care.
As prescribed in Section 225 of the National Health Reform Act 2011 (the Act), the objectives of the IHPA Work Program are to:
- set out IHPA’s work program for the coming year; and
- invite interested persons (including states and territories) to make submissions to the Pricing Authority about the work program up to 30 days after publication.
An extract of Section 225 of the Act is attached at Appendix 1
This document describes the Australian Mental Health Care Classification and the process IHPA has undertaken to develop the new classification.
The Pricing Framework 2016-17 builds on the Pricing Frameworks from previous years (2012-13, 2013-14, 2014-15 and 2015-16). For simplicity, where IHPA has reaffirmed a previous principle, the supporting argument has not been restated in this year’s paper.