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Open for Comment - Private Hospital Services Table of Costs

WorkCover Queensland will introduce a consistent fee structure, in the form of a table of costs, for private hospital services for the treatment of patients with a workers' compensation claim. Consultation and feedback from our stakeholders is key to ensuring we continue to meet our customers’ needs, so we encourage you to share your thoughts and feedback through our Open for Comment process.

Background

WorkCover is focused on getting the best outcomes for both employers and workers. This means:

  • workers receive timely medical assistance to facilitate their rehabilitation and return to work; and
  • treatment must be at a fair and reasonable price to minimise impact on employer premiums.

As the main provider of workers’ compensation insurance in Queensland, we also have a responsibility to maintain the financial viability of the workers’ compensation fund in this state.

Our current fee model for private hospital services is based on individual contracts with these hospitals across Queensland. The variety and complexity of these contracts makes it difficult to achieve consistent pricing and service delivery. It also hinders our flexibility to respond quickly to emergent events (e.g. extending the use of telehealth services during the COVID-19 pandemic).

Insights from research, analysis and consultation with other jurisdictions and key stakeholders, has indicated the introduction of the Private Hospital Services Table of Costs would minimise the disparity in fees and service standards and improve efficiency in billing.

What is changing

The Private Hospital Services Table of Costs would be maintained in a similar manner to our current Medical and Allied Health Table of Costs with annual and/or interim reviews. This would ensure fees and services are in line with relevant industry and economic factors such as CPI and wage indexes.

Target dates for the introduction of the table of costs are:

  • Publication date: 1 November 2021
  • Effective date: 1 December 2021

We need your feedback

We understand this represents a different way of working for private hospitals within the Queensland workers’ compensation scheme. As a key stakeholder in this scheme, your feedback is valuable and will help ensure we design and deliver a new process that meets everyone’s needs.

How do I provide feedback

There will be two Open for Comment processes, one focussed on the structure of the table of costs and one focussed on fees. The two-step approach will allow us to consider any feedback on the structure which may impact fees.

Step 1 - Open for Comment – table of costs structure

Step 2 - Open for Comment - table of costs fees

  • Commences: June 2021 (exact date to be confirmed)
  • Closes: July 2021 (exact date to be confirmed)

Resources

Contact us

If you have any questions or are having difficulties in submitting your feedback, please email us at communications@workcoverqld.com.au.