Private health insurance resources
Advice on the Prostheses List adjusted benefit amounts
This collection of document contains the advice on the Prostheses List adjusted benefit amounts resulting from the public benchmarking undertaken by the Independent Hospital Pricing Authority (IHPA). Each document shows the March 2022 benefits and the new benefits from 1 July 2022.
CIRG outcome note – 4 March 2022
This document contains the outcomes of the third Clinical Implementation Reference Group (CIRG) meeting.
Private Health Insurance classification of MBS items 11 April 2022
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 April 2022 and 11 April 2022.
Private Health Insurance classification of MBS items 6 July 2022
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 July 2022 and 6 July 2022.
Private health insurance clinical category definitions 11 April 2022
Standard clinical category definitions for private health insurance hospital policies, effective 11 April 2022.
Private health insurance clinical category definitions 6 July 2022
Standard clinical category definitions for private health insurance hospital policies, effective 1 July 2022 and 6 July 2022.
Benchmark Price for Prostheses in Australian Public Hospitals 2020–21
This report was prepared by the Independent Hospital Pricing Authority (IHPA) to establish a benchmark price for prostheses in Australian public hospitals.
General use items to be removed from the Prostheses List by group
Updated final list of general use items from part A to be removed from the Prostheses List which includes data from the published March 2022 PL.
NTREAP meeting outcomes – 10 February 2022
The Natural Therapies Review Expert Advisory Panel (NTREAP) met on 10 February 2022 for its 6th meeting. This document provides a record of the meeting.
Hospital Establishment – Type by Prostheses list product group
A list of all the items in the Prostheses list by private hospital type.
Historical background of the Prostheses list reform 2021–2025
This fact sheet lists reviews of the Prostheses List since we established it in 1985.
Memorandum of Understanding for the policy parameters of the Prostheses list reforms
This Memorandum of Understanding (MoU) between the Minister for Health and Aged care and the Medical Technology Association of Australia.
Prostheses list reforms – Consultation No. 1 – Executive summary
The executive summary shows the stakeholder views to improvements to the Protheses List (PL) as announced in the 2021–22 Federal Budget.
CIRG outcome note – 27 January 2022
This document contains the outcomes of the third Clinical Implementation Reference Group (CIRG) meeting.
Natural Therapies Review 2024 – Rolfing evidence evaluation
This report outlines the evaluation of evidence on the clinical effectiveness of Rolfing as part of the Natural Therapies Review 2024.
Terms of reference for Clinical Implementation Reference Group
Terms of reference for Clinical Implementation Reference Group
Private health insurance clinical category definitions 1 March 2022
Standard clinical category definitions for private health insurance hospital policies, effective 1 March 2022.
Private Health Insurance classification of MBS items 1 March 2022
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 March 2022.
Hospital certification for MBS items for repetitive transcranial magnetic stimulation (rTMS)
A fact sheet has been developed to assist practitioners in preparing Type C certification, for submission to private health insurers, where rTMS treatment is provided in hospital. It also provides guidance on what to include when correctly completing Type C certificates.
Private health insurance clinical category definitions 1 January 2022
Standard clinical category definitions for private health insurance hospital policies, effective 1 January 2022.
Private Health Insurance classification of MBS items 1 January 2022
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 January 2022.
CIRG outcome note – 10 December 2021
The outcomes of the second Clinical Implementation Reference Group (CIRG) meeting
CIRG outcome note – 2 November 2021
The outcomes of the first Clinical Implementation Reference Group (CIRG) meeting
Clinical Categories Review Advisory Committee – meeting 4 summary – 6 September 2021
This document summarises the discussion for the 4th meeting of the Clinical Categories Review Advisory Committee held on 6 September 2021
Tranche 2 submitted evidence
Tranche 2 submitted evidence by the public as part of the calls for evidence in the Natural Therapies Review 2024.
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