The new aged care system New system but same old problems? Charmaine Crowe CPSA Senior Policy Advisor.

Slides:



Advertisements
Similar presentations
Reverse Mortgage Presented to. What is a Reverse Mortgage? o Without Income or Credit Qualification o Without Making Monthly Mortgage Payments o Without.
Advertisements

The Impact of an Ageing Population on Aged Care Services in Tasmania Presented by - Lee Veitch July 2014.
Commonwealth Home Support Programme. Today’s Presentation Module 1 Introduction to the CHSP – what are we trying to achieve? Recap of the development.
City of Edinburgh Council Welfare Rights Service1 Local Housing Allowance NAWRA 14 th September 2007 EDINBURGH Nancy Fowler Welfare Rights Officer.
Lifestyle 2000 TM LONG TERM CARE POINT OF SALE PRESENTATION.
Robert Billington October 14,  Passed by Congress in March 2010  Thousands of pages  Hundreds of provisions to be implemented over several years.
What Is Long Term Care?. u Long Term Care is an ever changing array of services aimed at helping people with chronic conditions cope with limitations.
Budget 2012/13. 2 No higher contributions cap for people aged 50 or over From July 2012, the $25,000 concessional contributions cap will apply to everyone.
If you do not change direction, you may end up where you are heading  Caring for Older Australians  Reducing red tape  Quality care for consumers What.
Overview Reforms to date 1 July 2014 financial reforms – Income and means testing, accommodation payments, significant refurbishment What’s next – CDC,
The Care Act Reforming care and support Older People’s Provider Forum 11 February 2015 Vicky Smith, Head of Policy and Strategic Development.
Productivity Commission Mike Woods Deputy Chairman, Productivity Commission COTA National Policy Forum An Ageing Australia: Preparing for the Future.
1 Implementing the Dilnot reforms Sebastian Habibi and Sara Mason NCAS Conference 31 October 2014.
ACT NDIS Awareness Package Element 2: Eligibility.
Effective Communication : Across the Aged Care Continuum.
Children and Families Act 2014 and The SEN Code of Practice (England)
Maximising income through legislative compliance in residential aged care - essential processes and staffing implications.
ACFA Work Plan & the Higher Accommodation Supplement 1.
Care Act Tim O’Mullane Head of Social Care (Norwich)
The Care Act Reforming care and support Older People’s Residential and Nursing Provider Forum 8 January 2015 Vicky Smith, Head of Policy and Strategic.
Olly Spence Commissioning Lead The Care Act What does it mean for you?
PERSONAL FINANCIAL PLANNING Stephen Major Independent Financial Planner.
Aged Care Changes What’s changed and what’s to come Friday 12 June 2015.
Unit 6 Insurance: Protecting What You Have Part IV Life Insurance Resources: NEFE High School Financial Planning Program
Welfare Reforms Ursula Barrington. Welfare reforms On 16 February 2011 the Welfare Reform Bill was introduced to Parliament. The Bill legislates for the.
Student Funding 2016 Siobhan Giddins Keele University.
Department of Social Services April Bills passed in Parliament New Home Care Packages/Consumer Directed Care Four levels of Home Care Dementia.
NAFAO Conference 18 th October 2012 Clare Hensman, Social Care Funding Reform Department of Health Social Care Funding Reform: Current state of play.
Care Act Norfolk Older Peoples Strategic Partnership Board 18 June 2014 Janice Dane, Assistant Director Prevention and Transformation.
12 th November 2012 Clare Hensman, Department of Health, Funding Reform Care and Support Reform.
The Care Act 2014 Barbara Booton
Return to KaiserEDU Tutorials
Health of the elderly To discuss the policy aims, services and management of healthy ageing.
Building Age-friendly Queensland Positive Ageing Journey Expo 18 May 2015.
The Australian Aged Care System
Health Reform: What It Means to Our Community. Health Reform: Key Provisions o Provides coverage to 32 million uninsured people by o Changes insurance.
Nursing Home and Asset Protection presented by Commonwealth Advisory Group.
National Advocacy Update. Facts, Figures and Fatigue 28 papers or submissions 24 press releases 9 meetings with Ministers 5 meetings with opposition 32.
This is a template only and you must ensure that your compliance department have approved it for your use, before you present it.
Aged Care in Australia September 20, Important Notice This presentation has been prepared by KeyInvest Ltd ABN AFSL No The.
1.The structure of the residential aged care sector 2.The structure of the Home and Community Care Sector 3.Philosophies of positive ageing 4.Physical.
Take Time to Plan Oklahoma Association of Homes and Services for the Aging.
1 Medicare & You For city of Phoenix Retirees Presented by city of Phoenix Personnel Department Benefits Office.
Coalition for Seniors and Nursing Home Residents’ Rights December 2, 2013 Common Sense Solutions Protecting the Vulnerable Ottawa.
NC State Children’s Health Insurance Program  Covers families up to 200% of Federal Poverty Level (FPL)  Benefits package provided by NC Teachers and.
Department of Social and Family Affairs An Roinn Gnóthaí Sóisialacha agus Teaghlaigh Pensions Seminar - Tallinn Orlaigh Quinn Ireland 7th September 2005.
They said I couldn’t get the pension is an Authorised Representative of RI Advice Group Pty Ltd.
NAFAO Conference 18 October 2012 David Hayward – Department of Health Universal Deferred Payments: Designing the new scheme.
Health and Social care Pension Scheme the HSC Pension Service Waterside House 75 Duke Street Londonderry BT47 6FP
Social Fund Reform and the introduction of local provision in Scotland, Wales and England
Living Longer. Living Better. Paul Sadler, CEO, Presbyterian Aged Care NSW & ACT Intergenerational Forum, Sydney, September 2012.
Donna Losch Senior Employee Benefits Consultant October 18, 2012.
Copyright 2009 Northumberland County Council The Local Government Pension Scheme Northumberland Pension Fund LGPS March 2011.
Living Longer Living Better 26 July 2012 Sales, Customer Service and Marketing Team Workshop.
Healthcare in the Netherlands Kees-Pieter Dekker Athens 24 – 27 May 2009.
AGED CARE SERVICES AND CHANGES Peter Lawley CEO Brisbane Water (NSW) Legacy Legacy Australia – Aged Care Coordinator Australasian Services Care Network.
Health Reform: An Overview Unit 4 Seminar. The Decision The opinions spanned 193 pages, upholding the individual insurance mandate while reflecting a.
Retirement Protection Insurance Four part case study that uses alternatives to using traditional long term care FP 1019.
Aged Care Reform Package Alberto Castillo, Executive Officer Department of Health and Ageing NSW & ACT State Office 5 March 2013.
AGED CARE REFORM - CONSUMERS. What this presentation covers My Aged Care Overview Assessment process Home Care Packages overview Information on paying.
Planning for health expenses
Aged Care Costs.
The Commonwealth Home Care Program
our technology. OUR TECHNOLOGY / AN INTRODUCTION TO OUR ENTERPRISE.
Impacts of the new child care subsidy ON APPROVED PROVIDERS
Uss employer consultation 2018
Presentation transcript:

The new aged care system New system but same old problems? Charmaine Crowe CPSA Senior Policy Advisor

Living Longer Living Better (LLLB) LLLB announced back in April 2012 by the former Labor Gov’t. Focus on home care. Ten-year plan to boost home care packages from 60,000 to 100,000 Australia-wide. All home care packages to be provided on a consumer-directed care basis by 2015.

Cont. Reform (increase) co-contributions to care costs for home and residential care. Give residential care recipients greater choice as to how they pay for their accommodation costs (or does it?) Accreditation Agency now under the Department of Social Services.

How do I access the system? Aged Care Gateway Envisaged to be the ‘one-stop shop’ for accessing aged care. Early days just yet. Cartoon by Simon Kneebone, 2012

Home care packages Level of Home Care Package Basic home care subsidy in (per day) Basic home care subsidy in (per annum17) Level 1$20.55$7,501 Level 2$37.38$13,644 Level 3$82.20$30,003 Level 4$124.95$45,607 Home Care Package Program Guidelines 45

Consumer-directed care Gives the ‘consumer’ (care recipient) greater control over their care. Care recipient can choose which services they receive and may engage another provider to provide services. Supplements for people with dementia and cognitive impairment (10% of package).

How home care fees will work If your income is …Then … the basic rate of the single pension the maximum fee is 17.5 per cent of the basic rate of the single pension; this applies to both single and married care recipients more than the basic rate of the single pension the maximum fee is 17.5 per cent of the person’s income to the level of the basic pension plus up to 50 per cent of income above the basic pension Home Care Package Program Guidelines, p.65

Residential care Biggest change - fees Basic fee of 85% of the single rate of the Age Pension A means-tested accommodation fee A means-tested care fee Cartoon by The Global Mail, February 2012

How resi care fees will work Fees above the Basic Fee apply for anyone not on a full-rate pension or anyone with assets valued at more than $40,500 (March 2012 rate). If the person has income or assets above these levels, they will pay: – 50% of the income above the relevant full-pension threshold, plus – 17.5% of the value of the assets between $40,500 and $144,500, plus – 1 % of the value of assets between $144,500 and $353,500, plus – 2 per cent of the value of assets above $353,500

Some rules No one to pay more than what their care costs Annual and lifetime caps of fees – $60,000 lifetime care fee cap – $5,000 to $10,000 annual care fee cap Accommodation prices to be published Cartoon from The Daily Mail, 2010

Family home First $144,500 included in means test if no ‘protected person’ lives there. Not included to determine home care fees. Residents may pay a bond, a daily accommodation fee or a combination of the two. Bonds over $550,000 approved by Aged Care Pricing Commissioner (leaving 95% unregulated!) “I’m from Meeks Aged Care Services, and I’m here to enquire about our company’s inheritance of the earth, starting with Australian residential real estate.”

What about care quality? Cartoon by Social Justice Solutions, 2014

Really no change to quality under LLLB Accreditation Agency now a statutory agency under the Department of Social Services (Australian Aged Care Quality Agency). No change to quality checks or care standards. Mooted introduction of quality indicators, but this appears to be left off the reform agenda.

Why quality remains a concern Quality checks don’t measure resident health outcomes. Most checks are announced. Repeated cases of fully-accredited facilities being found to provide very poor care. Cartoon from The Daily Mail, 2010 Department of Health and Ageing data

Complaints

Four reforms to improve quality Reform accreditation standards to measure care outcomes rather than care processes. Introduce quality indicators based on clinical care outcomes and publicly report the results. Mandate staff-to-resident ratios. Make the Aged Care Complaints Scheme independent of government.

Questions? Charmaine Crowe or CPSA’s website: cpsa.org.aucpsa.org.au