A care partner will regularly check-in on more complex clients, providing assistance with arranging services and assessments.
When something goes wrong, like a fall or an informal carer getting sick, care partners will be able to help, and providers will have extra funds to temporarily top up their clients’ services.
The proposed Care management model:
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More complex clients (equivalent to an HCP L3/4 client today) will have funding for a care partner assigned in their support plan at assessment.
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Care partners will have a clinical focus – they may be clinicians or part of a team with clinical oversight.
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They will check in with the client each month to ensure they are doing well and to discuss whether any changes are needed to services. This check-in will be billed against client budgets.
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Care partners will be able to assist if changes are required, including engaging with the provider(s).
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Where care workers raise any red flags about a client (like observing weight loss or an empty fridge) these will be raised with the care partner.
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When needed care partners will be able to increase support for their clients, billed against a global funding pool for their organisation.
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While lower-needs clients will not have a dedicated care partner, there will be options to access care management support that can also be billed against the global pool.
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Providers delivering care management support will be paid at an hourly rate in arrears.
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Arrangements will be clear on the definition of care management versus normal administrative tasks (like scheduling) that are covered by prices.
