National Efficient Cost Determination
The Independent Health and Aged Care Pricing Authority (IHACPA) publishes an annual National Efficient Cost (NEC) Determination for public hospital services for each coming financial year. The NEC underpins funding for services that are not suitable for activity based funding, such as small rural hospitals. The NEC determines the Commonwealth Government contribution to block funded hospitals.
NEC cost model
The NEC cost model is determined using the in-scope activity and expenditure data for hospitals to be block funded. Hospitals are assigned to a size-locality grouping and mean expenditure is calculated for groupings.
Key publications
Current determination
Previous determinations
- National Efficient Cost Determination 2024-25
- National Efficient Cost Determination 2023-24
- National Efficient Cost Determination 2022–23
- National Efficient Cost Determination 2021–22
- National Efficient Cost Determination 2020–21
- National Efficient Cost Determination 2019-20
- National Efficient Cost Determination 2018-19
- National Efficient Cost Determination 2017-18
- National Efficient Cost Determination 2016-17
- National Efficient Cost Determination 2015-16
- National Efficient Cost Determination 2014-15
- National Efficient Cost Determination 2013-14
High cost, highly specialised therapies
For further information on our role in the reporting and funding of high cost, highly specialised therapies under the National Health Reform Agreement, please view High cost, highly specialised therapies.