Publications
National Efficient Price Determination 2026–27
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The national efficient price (NEP) sets the price for in-scope public hospital services funded on an activity basis.
National Efficient Cost Determination 2026–27
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The national efficient cost (NEC) determines payments for services that are block-funded.
AR-DRG Version 12.0
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The Australian Refined Diagnosis Related Groups (AR-DRG) classification provides a clinically meaningful way to group together treatments and services provided for admitted acute episodes of care to enable hospitals to be funded for these services using activity based f...
ICD-10-AM/ACHI/ACS resources
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The resources provided on this page are to assist clinical coders and other users of ICD-10-AM/ACHI/ACS. Information may be updated at any time to maintain currency.
Pricing Framework for Australian Residential Aged Care Services 2025–26
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The Pricing Framework for Australian Residential Aged Care Services is the key policy document for IHACPA relating to the development of pricing advice for residential aged care and residential respite care. The pricing framework outlines the key considerations and meth...
ICD-10-AM/ACHI/ACS Thirteenth Edition
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ICD-10-AM/ACHI/ACS Thirteenth Edition supersedes ICD-10-AM/ACHI/ACS Twelfth Edition and is applicable for separations from 1 July 2025.
Organ and Tissue Donation and Transplantation Project – Final Report
In August 2024, IHACPA commenced the Organ and Tissue Donation and Transplantation Project following a review of Australia's organ donation, retrieval and transplantation system by the Council of Australian Governments Health Council.As part of the project, we investiga...
National Pricing Model Technical Specifications 2026–27
These documents provide technical specifications for the activity-based funding models used to inform the National Efficient Price 2026–27 Determination and National Efficient Cost 2026–27 Determination.
Independent Financial Review 2023-24
The National Hospital Cost Data Collection (NHCDC) is the primary data collection that IHACPA 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, we...
NEP25 National Cost and Activity Drivers Report
The NEP25 National Cost and Activity Drivers Report presents insights into the key drivers of growth in the National Efficient Price Determination 2025-26 (NEP25), from the native National Efficient Price Determination 2024-25 (NEP24).