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Fifth of Australians contesting AI home support funding received more after review

Almost one-fifth of older Australians who challenged their algorithm-determined Support at Home funding allocation received a higher level of support or priority after human review, according to data up to March 31.

  • 141 out of 757 review requests for Support at Home funding allocations led to a more favourable outcome for the older person.
  • The Integrated Assessment Tool (IAT), introduced in November, uses an algorithm to determine support levels which cannot be overridden by assessors.
  • The Commonwealth Ombudsman launched an investigation in April into the IAT, which is currently ongoing.

Almost one-fifth of older Australians who contested their Support at Home funding allocation, determined by an algorithm, received a higher level of support or priority after a human reviewed the decision. Data provided by the department of health and ageing, up to March 31, shows that out of 757 requests for a review of a Support at Home funding allocation, 141 resulted in a more favourable outcome for the older person.

These favourable outcomes included eligibility for more services, a different or higher classification level, or a higher priority category. A further 177 cases saw no change, 304 were closed, and 135 remain in progress.

The Integrated Assessment Tool (IAT), introduced in November, is used across aged care to determine eligibility and classification for services. It involves an assessor asking questions about an older person's circumstances, with an algorithm then using this data to allocate a support level. Assessors cannot override the algorithmic decision if they believe a lower level of support has been allocated than needed.

The Commonwealth Ombudsman launched an investigation in April into the IAT, which has been described by assessors and older people as “cruel” and “inhumane”. This investigation is ongoing.

Why this matters: The IAT system, which uses an algorithm to determine home support funding, has been criticised for potentially leaving older people without adequate care and has prompted an ombudsman investigation.

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