The $31 Million AN-ACC Funding Uplift Experience

Health Generation
2 days ago
2 min read

Aged care manager sitting at a computer reviewing data and graphs to monitor care minute performance and CMS funding compliance.

Over the past two years, our team has helped more than 130 aged care facilities capture $31,061,155 in additional annual AN-ACC variable funding - and along the way, we’ve learned a few important lessons.

Lesson 1: The real value often hides in plain sight

Funding uplifts driven by mobility changes are usually the easiest to identify, that’s your baseline.
However, 57% of the uplifts we captured were non-mobility based — linked instead to changes in Cognition, Function, Pressure Sore Risk, and the most overlooked of all, Compounding Factors.
These are the quiet but powerful drivers of hidden value.

Lesson 2: More reassessments ≠ more results

Before working with us, a few providers submitted large volumes of reassessment requests each month, most came back as “Nil Change.”
This approach adds unnecessary workload for Assessment Management Organisations and delivers little value.
Every reassessment should be evidence-based and strategically forecasted to justify the likelihood of a positive outcome.
Over 78% of our recommended reassessments resulted in uplifts. Why not 100%? Because aiming for 100% means playing it safe and only chasing the sure-fire cases, which would mean overlooking the harder-to-spot opportunities where real value often lies.

Lesson 3: Forecasting is both science and art

AN-ACC forecasting is the process of reviewing clinical information to logically predict the new class before submitting a reassessment.
Anyone can forecast, but doing it accurately and consistently takes skill, discipline, and data.
One useful metric is the Forecast Accuracy Rate, calculated by dividing the actual uplift value achieved by the uplift value originally forecasted.

Our current rolling accuracy rate sits at 106%, meaning that when we forecast $100 in uplift, our clients typically receive $106.

At the end of the day, funding uplift is a means to an end, empowering homes to reinvest in their workforce, systems, and ultimately, the quality of care for older Australians.