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Legislative Assembly for the ACT: 1999 Week 6 Hansard (22 June) . . Page.. 1645 ..

Health Services - Delivery Costs

(Question No. 131)

Mr Stanhope

asked the Minister for Health and Community Care, upon notice, on 20 April 1999:

What is the cost of the delivery of NSW health services to ACT patients over

  1. the past three years; and
  2. the year- to-date.

Mr Moore

: The answer to the Member's question on what is the cost of delivery of NSW health services to ACT patients over the past three years is:

Under the Australian Health Care Agreement (AHCA), NSW and the ACT have developed arrangements for reimbursing each other for the cost of services to each other's residents.

For ACT payments to NSW, these funding arrangements cover:

� public hospital inpatients (both public and private patients);

� non-admitted patients, and

� emergency department attendances.

In 1997/98, ACT residents accounted for 3,710 weighted inpatient episodes in NSW public hospitals, the majority of these taking place in Sydney metropolitan hospitals.

The weighting is based on the casemix complexity of each episode. The average weighting for ACT episodes in NSW public hospitals is higher than the average weighting within the ACT's public hospitals.

The ACT reimburses NSW for these services according to a formula agreed each year, which is based on: the number of separations, weighted by their casemix complexity, multiplied by the agreed price.

In fact, no actual payment is transferred as the amount is deducted from the amount due to the ACT for NSW patients treated in the ACT.

The relevant amounts for the last three years are in the table below. No data is available yet for 1998/99.

In addition, there are small amounts reimbursed for non-admitted patients and emergency department attendances. The non-admitted patient amount of $370,000 was arbitrated by the Commonwealth in 1997.

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