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Publications
Cost-Shifting and Cross-Border Dispute Resolution Framework
15 June 2018The purpose of the Framework is to guide the timely, equitable and transparent processes by which IHPA investigates both cross-border and cost-shifting disputes following a request by a Health Minister.
Back-casting policy
15 June 2018The Back-casting Policy outlines the process IHPA follows when back-casting the NEP or the NEC for the purpose of the calculation of the Commonwealth’s funding, as set out in the NHRA (clause A40).
Impact of New Health Technology Framework
15 June 2018The objective of the IHPA Impact of New Health Technology Framework (the Framework) is to outline the process by which IHPA, through the CAC, will monitor and review the impact of new health technologies on the existing classifications in order to accurately account for them in the pricing of public hospital services.
In consultation with the CAC, IHPA will:
AMHCC User Manual
13 June 2018This document provides background to the development of the new classification, explains the data elements and collection protocols, reporting requirements, and how the data is grouped.
Assessment of Legitimate and Unavoidable Cost Variations Framework
21 May 2018A jurisdiction may request IHPA to consider any legitimate and unavoidable costs in the delivery of public hospital services. The purpose of this Framework is to assist jurisdictions in making submissions to IHPA on this issue, to layout the process which IHPA will follow in assessing submissions, and the process to determine adjustments to the NEP.
Non-admitted home ventilation and maternity services
4 April 2018Tier 2 Non-Admitted Services Definitions Manual 2018-19
16 March 2018The Tier 2 Non-Admitted Services Classification (Tier 2) supports the introduction of activity based funding (ABF) for non-admitted hospital services in the Australian public hospital system.
Tier 2 Non-Admitted Services Compendium 2018-19
16 March 2018The Tier 2 Non-Admitted Services Compendium provides guidance on the counting and classification rules associated with the Tier 2 Non-Admitted Services Classification (Tier 2).
National Hospital Cost Data Collection, Public Hospitals Cost Report, Round 20 (Financial year 2015-16)
7 March 2018This NHCDC Australian Public Hospitals Cost report includes the result of participation across the various jurisdictions. The report 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.
National Pricing Model Technical Specifications 2018-19
5 March 2018This 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 2018-19.
National Efficient Cost Determination 2018-19
5 March 2018The 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 2018-19 National Efficient Cost Determination (Determination):
National Efficient Price Determination 2018-19
5 March 2018The 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 2018-19 (Determination):
National Hospital Cost Data Collection, Private Hospital Cost Report, Round 20 (Financial year 2015-16)
13 February 2018The private sector National Hospital Cost Data Collection (NHCDC) is a voluntary collection that produces a range of hospital cost and activity information by the Australian Refined Diagnosis Related Groups (AR-DRG). This report includes the findings from Round 20 (financial year 2015-16) of the NHCDC for acute admitted care provided by overnight private hospitals.
Australian Hospital Patient Costing Standards - Version 4.0
13 February 2018The Australian Hospital Patient Costing Standards (AHPCS) provide direction for hospital patient costing through the development of standards for specific elements of the costing process and reporting requirements.
The AHPCS Version 4.0 was developed through extensive consultation with jurisdictions and stakeholders. The AHPCS Version 4.0 comprises:
National Hospital Cost Data Collection, Independent Financial Review, Round 20 (Financial year 2015-16)
17 January 2018The 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.