Publications
General List of In-Scope Public Hospital Services Eligibility Policy
Each year, the Independent Health and Aged Care Pricing Authority (IHACPA) publishes the General List of In-Scope Public Hospital Services as part of the national efficient price determination. The general list defines the public hospital services eligible for Commonwea...
National Pricing Model Technical Specifications 2025–26
This document provides the technical specifications for developing the activity based funding models for the service streams to be funded for the National Efficient Price and the National Efficient Cost Determinations 2025–26 (NEP25 and NEC25).
National Efficient Cost Determination 2025–26
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 Determination 2025–26:
National Efficient Price Determination 2025–26
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 Determination 2025–26:
National Hospital Cost Data Collection Private Hospital Report 2023-24
The National Hospital Cost Data Collection (NHCDC) Private Sector is a voluntary collection that produces a range of hospital cost and activity information by the Australian Refined Diagnosis Related Groups.
Residential Aged Care Supplementary Pricing Advice 2024–25
Each year the Independent Health and Aged Care Pricing Authority (IHACPA) provides evidence-based residential aged care and residential respite care pricing advice to the Australian Government.
Virtual Care Project - Final Report
In 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...
Pricing Framework for Australian Public Hospital Services 2025–26
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...
Clinical Coding Practice Framework
The 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.
IHACPA Annual Report 2023–24
The Independent Health and Aged Care Pricing Authority (IHACPA) Annual Report 2023–24 has now been published.The annual report details the agency’s activities throughout the 2023–24 financial year. This includes the financial and operational performance against planned...