Resources
Pricing Framework for Australian Public Hospital Services 2025–26
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The Pricing Framework for Australian Public Hospital Services 2025–26 is the key strategic document underpinning the National Efficient Price and National Efficient Cost Determinations for the 2025–26 financial year.IHACPA has published the pricing framework prior to re...
Consultation Paper on the Pricing Approach for the Support at Home service list 2025—26
ConsultationsFeatured
The Australian Government’s Support at Home program will combine existing in-home aged care services into a single, simplified program designed to assist older people to live independently at home for longer.
Residential Aged Care Pricing Advice 2024–25
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IHACPA has released the Residential Aged Care Pricing Advice 2024–25.This advice informs Australian Government decisions on residential aged care funding from 1 October 2024. This is the second year we have provided evidence-based residential aged care pricing advice to...
IHACPA Work Program and Corporate Plan 2024–25
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The Independent Health and Aged Care Pricing Authority (IHACPA) Work Program and Corporate Plan 2024–25 has been prepared in accordance with the requirements of section 225 of the National Health Reform Act 2011 and section 35(1)(b) of the Public Governance, Performance...
National Efficient Price Determination 2024–25
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The Independent Health and Aged Care Pricing Authority (IHACPA) was established under the National Health Reform Act 2011 (the NHR Act) and by virtue of section 131(1) of the NHR Act is invested with the following functions relevant to this National Efficient Price Dete...
National Efficient Cost Determination 2024–25
PublicationsFeatured
The Independent Health and Aged Care Pricing Authority (IHACPA) was established under the National Health Reform Act 2011 (the NHR Act) and by virtue of section 131(1) of the NHR Act is invested with the following functions relevant to this National Efficient Cost Deter...
Data compliance reports
PublicationsThe Independent Health and Aged Pricing Authority (IHACPA) publishes Data Compliance Reports including a Quarterly Report, as required by the National Health Reform Agreement (B81).
Virtual Care Project - Final Report
PublicationsIn 2024, IHACPA commenced a project to understand the current state of virtual care, including funding in Australia and internationally. The project also investigated new and emerging trends in virtual care as well as opportunities to adapt the national pricing model. T...
National Coding Advice
PublicationsNational Coding Advice are the Coding Rules and frequently asked questions (FAQs) about the new edition. These are published to facilitate nationally consistent assignment of ICD-10-AM and ACHI codes in the implemented edition of ICD-10-AM/ACHI/ACS. National Coding Advi...
National Benchmarking Portal resources
PublicationsThe National Benchmarking Portal (NBP) is a website-based application that provides public access to insights from data collected by the Independent Health and Aged Care Pricing Authority (IHACPA).
A fresh new approach to NDIS pricing
ConsultationsIn 2024, the Australian Government requested that IHACPA undertake initial work to identify opportunities for future reforms to National Disability Insurance Scheme (NDIS) pricing. This included reviewing existing pricing approaches and developing a pricing data strateg...
Clinical Coding Practice Framework
PublicationsThe Clinical Coding Practice Framework aims to support national consistency in clinical coding practice, by providing guidance in defining and promoting good practices for those involved in the clinical coding process.