National Efficient Cost Determination
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 Australian Government’s contribution to block funded hospitals and services.
About the NEC
The NEC cost model for small rural hospitals is based on in-scope activity and expenditure data using a fixed-plus-variable model. The fixed component accounts for the fixed costs of operating small rural hospitals, while the variable component reflects the activity performed by the hospital.
Our current and recent NECs are listed here
Current determination
Previous determinations
- National Efficient Cost Determination 2025-26
- 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.