Assessment of new health technologies 2018–19
Date published: 1 September 2018
IHPA's core function is the pricing of public hospital services. IHPA’s Pricing Guidelines recognise that the "pricing of public hospital services should respond in a timely way to the introduction of evidence-based, effective new health technology and innovations in models of care that improve patient outcomes."
Accounting for new health technologies
While IHPA was not established to take on a major technology evaluation role, it does partially account for the adoption of new health technologies through its indexation methodology which projects three year old data to the year of the National Efficient Price. The indexation rate reflects the average increase in cost over the previous five years.
IHPA also accounts for new health technologies when updating the Activity Based Funding classification systems. For example, IHPA updates the Australian Refined Diagnosis Related Groups (AR-DRG) classification to ensure that it reflects current clinical practice and models of care.
IHPA seeks input from specialist health organisations such as the Health Technology Reference Group and the Medical Services Advisory Committee.
Impact of New Health Technology Framework
IHPA has developed the Impact of New Health Technology Framework as an additional process for the review of new health technologies.
Under the Framework, IHPA, through its Clinical Advisory Committee (CAC), monitors and reviews new health technologies to determine whether they are adequately accounted for in the pricing of public hospital services. Where the technology is not accounted for, IHPA may refer the technology for priority coding and classification development.
This annual process involves IHPA, the CAC and state and territory health departments reviewing reports on new health technologies provided by government advisory groups and other interested stakeholders, such as medical technology manufacturers.
A new health technology will be referred for priority classification and coding development where it can be demonstrated that:
- the technology is in use in Australian public hospitals or its future uptake is expected to be substantial enough to warrant classification or coding development
- the difference between the price weight for the most frequently mapped Diagnosis Related Group (DRG) and the technology's cost estimate is significant
- the total cost of the mapped DRGs and the number of patients is material
- the technology can be better accounted for through classification and coding development (i.e. the technology should not be a diagnostic test or pharmaceutical).
Assessment of new health technologies for 2018-19
The submission period ended on Friday, 21 September 2018. IHPA’s final assessment of the technologies to refer for classification and coding development occurred in May 2019.