sec.168Cost-effectiveness

sec.168 Cost-effectiveness

The insurer must consider whether treatment, care or support for, or relating to, the worker’s treatment, care and support needs is cost-effective. In considering the matter mentioned in subsection (1) , the insurer must also have regard to the following matters— the likely benefit to the worker of receiving the treatment, care or support weighed against the cost of providing the treatment, care or support to the worker; the cost of the treatment, care or support compared with the cost of the same or similar treatment, care or support provided by other suitable providers; whether there is a more cost-effective way to provide the treatment, care or support; considering whether leasing equipment would be more cost-effective than purchasing new equipment considering whether the treatment, care or support can be more appropriately funded under another scheme whether the cost of the treatment, care or support is reasonable having regard to the period for which it is required; whether the cost of the treatment, care or support is more than an amount prescribed for the treatment, care or support under section 232R (4) of the Act . (sec.168-ssec.1) The insurer must consider whether treatment, care or support for, or relating to, the worker’s treatment, care and support needs is cost-effective. (sec.168-ssec.2) In considering the matter mentioned in subsection (1) , the insurer must also have regard to the following matters— the likely benefit to the worker of receiving the treatment, care or support weighed against the cost of providing the treatment, care or support to the worker; the cost of the treatment, care or support compared with the cost of the same or similar treatment, care or support provided by other suitable providers; whether there is a more cost-effective way to provide the treatment, care or support; considering whether leasing equipment would be more cost-effective than purchasing new equipment considering whether the treatment, care or support can be more appropriately funded under another scheme whether the cost of the treatment, care or support is reasonable having regard to the period for which it is required; whether the cost of the treatment, care or support is more than an amount prescribed for the treatment, care or support under section 232R (4) of the Act .

• (a) the likely benefit to the worker of receiving the treatment, care or support weighed against the cost of providing the treatment, care or support to the worker;
• (b) the cost of the treatment, care or support compared with the cost of the same or similar treatment, care or support provided by other suitable providers;
• (c) whether there is a more cost-effective way to provide the treatment, care or support; Examples— • considering whether leasing equipment would be more cost-effective than purchasing new equipment • considering whether the treatment, care or support can be more appropriately funded under another scheme