Increasing regulated ACC payments for treatment
We conduct an annual review of the Cost of Treatment Regulations to ensure payments for treatment are affordable for claimants and ACC and don't cause issues in the health sector.
Our annual review
The policy objectives of our annual review of the Cost of Treatment Regulations are to ensure:
- payments for entitlements are affordable for claimants
- costs to ACC are sustainable, affordable and consistent (gradual increases)
- payments do not cause issues in the health sector.
About the 2018 consultation
Submissions closed on our 2018 review on 11 September 2018.
This consultation sought feedback on proposals to:
- apply a general inflation increase of 1.56% to ACC payments for treatment and imaging services
- provide for lower cost injury-related general practice visits for Community Services Card holders and their dependents by increasing ACC payments for this group of people
- extend fee-free general practice visits to children under 14 years old by increasing ACC payments for this group of people.
We received 19 submissions, mostly from the primary care sector. Most submissions supported, in principle, the intention to apply higher contributions to enable general practices to charge lower amounts to people with community services cards, and extend fee-free treatment to children under 14 years old.
Submitters raised concerns that the proposed increases would not be sufficient to give effect to the Government’s primary care initiative aims in terms of the intended reductions in patient charges, and that ACC’s rates should better align with the Ministry of Health’s contributions.
Who the 1.56% increase applies to
The proposed 1.56% increase would apply to ACC’s regulated contributions to services provided by:
- hyperbaric oxygen
- medical practitioners
- medical practitioners and nurses
- nurse practitioners
- specified treatment providers.
Removing barriers to primary care
The proposed additional contributions to support lower cost general practice visits for Community Services Card holders and their dependents and fee-free general practice visits to children under 14 years old are part of the Government’s broader package of primary health care initiatives to remove barriers to primary care and help people identify and treat problems early.
How the changes would be implemented
The proposed ACC changes would be implemented by changing the Accident Compensation (Liability to Pay or Contribute to the Cost of Treatment) Regulations 2003 (the Regulations).
These regulations prescribe regulated payments made by ACC for consultations, specified treatments and imaging services provided to ACC claimants.
ACC will discuss the proposed payments with contract holders, in-line with the Government’s commitments.