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Development of the Australian Refined Diagnosis Related Groups (AR-DRG) V9.0
16 May 2017AR-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 has been used to price 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.
National Efficient Cost Determination 2017-18
6 March 2017The 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):
National Pricing Model Technical Specifications 2017-18
6 March 2017This 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.
National Efficient Cost Determination 2016-17
1 March 2016The 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 2016-17 National Efficient Cost Determination (Determination):
National Pricing Model Technical Specifications 2016–17
1 March 2016This 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 2016-17.
Review of the AR-DRG Case Complexity Process
9 December 2015This report presents the results of phase one of the project to develop Australian Refined Diagnosis Related Groups (AR-DRG)1 Version (V) 8.0. This phase focuses on the case complexity component of the classification that has not been reviewed for many years
National Efficient Cost Determination 2014-15
28 February 2014The 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 2014-15 National Efficient Cost Determination (Determination):
(a) to determine the national efficient cost for health care services provided by public hospitals where the services are block funded;
National Pricing Model Technical Specifications 2014–15
28 February 2014This document was produced as an accompaniment to the NEP14 and NEC14 Determinations. It provides the technical specifications for how IHPA developed the ABF models for the service streams to be funded on this basis from 1 July 2014, and provides guidance to hospitals, Local Health Networks (LHN) and state and territory health authorities on how to apply these to hospital activity.
National Pricing Model Technical Specifications 2012-13
9 December 2012This document was produced as an accompaniment to the NEP13 and NEC13 Determinations. It provides the technical specifications for how IHPA developed the ABF models for the service streams to be funded on this basis from 1 July 2012, and provides guidance to hospitals, Local Health Networks (LHN) and state and territory health authorities on how to apply these to hospital activity.