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1. #Hourly news updates on summit drivers#
2. #Hourly news updates on summit update#
3. #Hourly news updates on summit full#
4. #Hourly news updates on summit plus#

#Hourly news updates on summit update#

The last major update in June 2022 raised the basic hourly price of NDIS services by 9 per cent. And these prices are increasing unsustainability because providers are perpetually claiming that the prices are insufficient to cover their costs and threatening to pull out of the market if the NDIA doesn’t raise them. This hasn’t happened and the “price limit” has effectively become “the price”. The hope was that as the market and competition grew, providers would start charging below the “price limit”. The NDIA regulates prices by annually publishing a long list of “price limits” for each service. Early on, the NDIA started regulating the price of NDIS services because of concerns that the market and consumers were not mature enough to handle flexible prices. That’s why there is a Medicare benefits schedule (MBS) and a pharmaceutical benefits scheme (PBS), both of which play an important role in controlling costs under those programs.įourth, and to complement three, the government could deregulate NDIS prices and instead set a maximum subsidy level for supports. These problems are not unique to the NDIS, they exist in most areas of health and social spending. This situation has opened the door for taxpayer-funded overconsumption of a whole range of services under the NDIS, some of questionable benefit. A less extreme example: how many sessions of psychology are beneficial? Medicare caps taxpayer support at 10 sessions (probably way too low), but the NDIS sets no limit at all. Some extreme examples to illustrate the point: is horse riding therapy scientifically proven to be effective? For whom and for what types of disabilities? What about art therapy? How many sessions are beneficial? Four a year (once a quarter) or 52 a year (once a week)? No one really knows.

#Hourly news updates on summit drivers#

One of the biggest drivers of potential waste in the NDIS is that there is no evidence base to help to turn down or set reasonable limits on supports. Third, the government could create an “NDIS benefits schedule (NBS)” to explicitly define what support, and how much of each support, to fund. There is no evidence base to help to turn down or set reasonable limits on supports. The net result would be a much smaller, more focused NDIS. That’s where these conditions are most cost-effectively treated, with a big focus on early intervention and recovery. They should take this money back and use it to shore up their health and education systems. This financial year the states will contribute just over $10 billion to the NDIS. It has also created a perverse incentive for the states to cost shift and avoid their traditional responsibilities for education, health and mental health. People suffering from these conditions need and deserve government support, but adding them to the NDIS has distracted from the core purpose of supporting people living with severe and permanent disabilities. Second, as part of a grand bargain to deal them out of the NDIS, the Commonwealth should return responsibility for development delay, autism, and psychosocial disability to the states. There is next to zero chance that the states will agree to contribute more for the NDIS in these negotiations, so it would be better for the Commonwealth to instead deal them out of the NDIS. The original bilateral agreements between the Commonwealth and each of the states and territories are coming up for renegotiation.

#Hourly news updates on summit plus#

The idea that nine governments (the Commonwealth plus eight state and territory governments) can agree to tough NDIS reform is a pipe dream. It’s hard enough for one government to undertake tough reform. Simplifying the governance of the NDIS is a prerequisite for fixing the NDIS.

#Hourly news updates on summit full#

Alex Ellinghausenįirst, the Commonwealth should assume full governance and financial responsibility for the NDIS. Modest ideas: Minister Bill Shorten has conceded there are problems in the NDIS. So, I want to offer six “systemic reform” ideas that could truly fix the NDIS and ensure its long-term sustainability. But he offered only modest ideas that wouldn’t address the perverse incentives created by the NDIS or prevent future budget blowouts. Last week Bill Shorten declared that the NDIS had “lost its way” and needs “systemic reform”.