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Table 5 Potential cost savings to the public hospital sector (A$)

From: Cost modelling rehabilitation in the home for reconditioning in the Australian context

All costs in A$

Cost per Episode by AN-SNAP Class

Assumptions and Sources

4AR1

4AR2

4AR3

4AR4

Weighted Averagea/

Total

Cost savings to govt. per RITH episode

1 IHACPA, National Efficient Price Determination 2021–22, Appendix 1 [22]

2 IHACPA, National Efficient Price Determination 2021–22, page 7 [22]

3 = Episodic cost weight x NEP per single cost weight

4 As shown in Table 4

5 Current inpatient cost per episode LESS the modelled RITH episode cost

6 Cost savings attributable to RITH per episode expressed as a percentage of the current inpatient cost per episode

7 This is the number of inpatient reconditioning rehabilitation episodes that might be substitutable by RITH, limited to capital cities, and is based on the AN-SNAP reconditioning episodes reported to AROC in the 2019 (the last pre-Covid) year [2], adjusted for the DELPHI-derived anticipated utilisation of RITH (Additional File 1)

8 Potential annual cost savings to government from RITH if estimated substitutable episodes are taken up

 Cost weight per episode type1

2.30x

3.01x

3.23x

4.11x

2.83x

 NEP per single cost weight2

$5,597

 Current inpatient cost per episode3, b

$12,850

$16,825

$18,064

$22,976

$15,820

 Less: modelled RITH costs per episode4

($9,817)

($11,820)

($12,737)

($15,491)

($11,371)

Equals: cost savings to govt. per episode5

$3,033

$5,005

$5,327

$7,486

$4,449

Percentage cost savings to govt. per episode6

23.6%

29.7%

29.5%

32.6%

28.1%

Potential cost savings to govt. per annum

 Modelled number of substitutable episodes per annum7

881

1,205

258

115

2,459

Cost savings to govt. per annum8

$2.67 m

$6.03 m

$1.38 m

$0.86 m

$10.94 m

  1. aThis shows weighted averages for each metric where the weighting is based on the modelled number of substitutable episodes per annum (calculated as shown in Additional File 1)
  2. bThe National Efficient Price (NEP) is used to determine of the amount of Commonwealth Government funding for public hospital services and to provide a benchmark about the efficient cost of providing public hospital services [27]