By Matthew Politarhis: National Clinical Training Manager & AN-ACC Assessor – Allied Health
As we move closer to hearing about if and when the AN-ACC will replace the current funding system (ACFI) did you know we may already know the how?
Implementation and transition options including a stop-loss threshold have already been proposed by the Australian Health Services Research Institute (AHSRI), knowing that these or similar options may be adopted, will help guide you and your organisation on how best to prepare for change.
As discussed in previous articles the AN-ACC system is a new funding and assessment model based on the resource Utilisation and Classification Study (RUCS).
What are the transition proposal options?
Option 1: All new residents and residents requiring re-assessment would be assessed and funded by the new model (AN-ACC). ACFI payment rates would be frozen for existing residents for the two-year transition period.
Option 2: All residents (new and existing) will switch to the new AN-ACC model from a set date. All residents would then be assessed under the AN-ACC leading up to the commencement date. All residents would then be under the AN-ACC from the commencement date and all ACFI processes would cease.
What is the stop-loss threshold?
With the implementation of the AN-ACC model AHSRI has highlighted that there may be a result of redistribution of funding between providers. A stop-loss arrangement has been proposed which means that if there was a 5% or more reduction in a home’s funding then the Government would make a payment to the home to limit the reduction to the 5% only. This would apply over a 2-year period. The stop-loss would apply to facilities that have had at least 25% of residents transitioned to AN-ACC.
How best do you prepare for the AN-ACC?
Providers should be reviewing their current status of care vs funding to ensure that the care being provided is matching their current ACFI funding classifications. This can be done through their own internal processes and ACFI teams or outsourced if resources for project reviewing doesn’t permit.
If you’d like more information or a confidential discussion on how HCA could help you to best prepare for a change in the funding system, please contact us on firstname.lastname@example.org.