icare faces cost-cutting mandate following operational efficiency review

Report outlines challenges facing the organisation

icare faces cost-cutting mandate following operational efficiency review

Life & Health

By Roxanne Libatique

The New South Wales Treasury has released a report evaluating Insurance and Care NSW’s (icare) operational expenditure, aiming for a permanent reduction of 5% in its net service costs from the 2024-25 fiscal year onwards.

The review was directed by Sophie Cotsis, the NSW minister for Work Health and Safety, and outlined 14 findings aimed at improving transparency, accountability, and the state’s oversight of icare’s performance.

icare’s operational expenditure

The report found that icare generally operates with levels of efficiency and cost-effectiveness on par with other public and commercial insurers across the country. It also highlighted that icare is working through longstanding challenges related to governance, culture, and accountability, while investing in digital transformation initiatives.

However, the review indicated that careful management is required to avoid duplication of efforts and ensure the full benefits of these investments are realised.

The findings also called for better clarity and continuity in measuring icare’s impact on the overall performance of NSW’s insurance schemes and their long-term financial sustainability. To address this, the report recommended that NSW Treasury, icare, and the State Insurance Regulatory Authority (SIRA) collaborate more closely to enhance performance oversight and ensure value for money.

These findings follow a separate report from Promontory in July, which noted significant improvements in icare’s governance and accountability measures.

icare welcomes findings of operational expenditure review

Responding to the Treasury report, an icare spokesperson expressed support for the recommendations and confirmed the organisation’s commitment to implementing cost-saving initiatives.

“icare will continue to work to realise cost savings and efficiencies, including those sought by Treasury, while delivering the care and support that injured workers, business owners, and the government agencies of NSW rely on us for,” the spokesperson said.

The spokesperson also noted that icare’s internal reviews have already identified measures that are expected to reduce ongoing operating expenses by over 5%.

icare corrects payment errors in Dust Diseases Scheme

In a separate matter, icare recently disclosed that historical miscalculations had been discovered in the Dust Diseases Care (DDC) scheme, affecting approximately 300 participants.

These miscalculations resulted in underpayments to around 6% of the 5,000 people currently enrolled in the scheme.

icare issued a public apology for the mistakes and committed to resolving the issue promptly. The organisation is in the process of contacting affected participants to inform them of the payments owed, with plans to complete the outstanding payments by December.

icare is also implementing new IT systems, including a case management platform, to enhance payment accuracy and avoid similar errors in the future.

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