Aged care is undergoing the biggest reform since introduction of the Aged Care Act in 1997, but the question is whether this is just smoke and mirrors or real reform? Initial responses from industry and retiree groups have been positive but I think it is hard to make a judgement call until we see more of the details.
We will see real reform in the removal of the distinction between low and high care and a single rule for accommodation (entry) fees for all residential care. Fees will vary across providers but rather than individual resident negotiations, bonds will need to be approved by a central authority. I suspect one of the government’s main reasons for this change is to remove the current opportunities to individually negotiate higher bonds in exchange for lower care fees, which may increase how much the government pays in age pension payments and/or care subsidies.
Having said that, it will create greater transparency and may be welcomed by residents and families who are nervous about costs and sceptical about how the bonds are set. But I fear that it could lead to higher average bonds. Residents and families should be careful not to shop on price alone. Just like when buying a home there may be a reason for the lower price. Critical to the decision process is the need to seek financial advice on affordability, restructuring assets and the impacts on age pension and income generation.
From comments in the government’s paper and from my experience over many years of training to financial planners, accountants and aged care staff, there is no question that the system is confusing and many people have not understood the options that currently exist.
Residents and their families need to change attitudes. If we can no longer live in our home is it really so bad if we have to sell it to help pay for the next home – albeit that home may be an aged care facility? Remember bonds are refundable. So it is not money lost. The home should be seen as a financial resource and financial advice is key.
The proposed reforms seem to focus on achieving greater consistency of fees and shifting more of the cost back to those who can afford to pay. This will mean winners and losers but hopefully overall it will mean a more sustainable aged care system.
We still have a long process to go through before all the reforms are implemented and all the details are known. But for now what should we be doing? None of the changes are imminent and the first changes will start to have an impact from 1 July 2013. So no immediate actions are required.
But anyone moving into aged care now or in the imminent future should seek financial advice to understand their options and strategies for how to structure finances to ensure they can afford to age where they like and with the dignity they deserve.