Performl

Great article on how you can start a philanthropic sub-fund, with no admin time or cost, with as little as $20,000 by partnering with trusted foundations.

Is SDA oversupplied—or just misaligned? On paper, there are 36,978 SDA places and 24,180 participants with SDA need. But these numbers mask significant unmet need. Regional analysis paints a starkly different picture: - 83 of 88 regions have fewer new build SDA places than current need. - Including existing and legacy non-basic SDA, 76 of 88 regions still fall short. - Adding pipeline projects reduces this to 60 regions—but gaps persist. - Even when counting all SDA places, including basic existing and legacy stock, 17 regions remain undersupplied. The takeaway? National oversupply masks local shortages. Significant development is still required to solve SDA inequities, and this requires nuanced, regional planning. The horizontal x-axis in the chart plots each of the 88 SA4 Regions and the vertical y-axis is split. The left side shows the surplus/(deficit) of SDA when counting new build SDA places including the pipeline. The right side shows SDA utilisation by participants. The far right bar, for example, is Melbourne West. There are 1,645 more new build SDA places including the pipeline than current need. But SDA utilisation among participants is only 68%. And 11 SDA providers in this area report all of their stock as vacant. These data raise questions about the quality and desirability of the supply. Much work remains to align SDA supply to meet real-world participant needs—across all regions and to the quality and standard they deserve. Glad to see the Specialist Disability Accommodation (SDA) Alliance's focus on supporting quality providers to create a quality market. #sda #disabilityhousing #ndis

A generous but ineffective care system threatens both our economies and lives. Care expenses account for the majority of Australia’s $756 billion tax revenue. Over 300,000 non-government providers compete to deliver $154 billion in market-driven care services to millions of Australian consumers each year. Another $196 billion in care is provided through more than 5,000 commissioned providers and government-run services. Government welfare payments cost $212 billion. Community organisations raise an additional $18 billion in donations to fund extra care services. There is also a distinct market of entirely privately funded care. Care system efficiency depends on there being a level of open access to information so consumers, providers, and others in the system can make good choices. This open information helps identify who needs support, and where; which services are available; and what works for whom, and why. Yet consumers, providers, governments, industry groups, researchers, philanthropies, and others operating in the care system lack open access to essential information to make good choices. FuelCheck allows drivers to compare petrol prices, enhancing competition and reducing fuel costs, yet families can’t compare gap fees for child care or GP visits. Energy providers use peak load data to reduce supply gaps, but veterans’ care providers lack insights about demand and service availability, limiting their ability to plan capacity. TripView leverages real-time transport data to manage commuter demand, while aged care consumers and providers lack open information on waitlists and vacancies. Travellers can evaluate on time reports when choosing airlines, but quality of care audits are not available to consumers when selecting their NDIS provider. Private health insurance data empowers consumers to compare premiums against a capped rate, while people with disabilities lack transparency in finding allied health providers charging below price limits. Systemic open data challenges prevent effective use of the vast care information currently released by governments, and governments too often withhold open access to critical data. The lack of useful and available open information in the care system is driving poor choices, low competition, high costs, long waitlists, and supply gaps, costing billions. Care costs grew 15% last year while GDP rose 2.2%, and millions of Australians continue to experience preventable disadvantages. It is time for Australian governments to establish a minimum open dataset for our care system to improve the care experience, inform consumers, boost competition, and enable market stewardship, saving billions by enhancing market efficiency. #CareEconomy #OpenDataBetterCare #HealthcareInnovation

New data highlights contrasting growth rates and market share among NDIS platform providers. The NDIS Quality and Safeguards Commission identified 13 platform providers in its inquiry and comparison of platform fees. Of these, 6 appear in the list of the top 1,000 NDIS providers by payment volume, while the remaining 7 do not. Notably, two providers—Hireup and Mable—account for the majority of payments, though smaller platforms appear to be growing at a faster rate than their larger counterparts. Description of first chart: This chart shows the total payments to platform providers as of 30 June 2024. The payment amounts vary significantly, highlighting a concentration of funding among a few large providers. Key data points include: - Mable: $162,432,397, holding the highest payment volume. - Hireup: $151,526,882, another major provider with significant funding. - Humdrum: $13,253,534 - Like Family: $9,837,992 - Five Good Friends: $7,405,843 - Careseekers: $5,903,666 Several providers, such as Assist Now, Find A Carer, Kynd, Mobility, Suitsme, Support Network, and tappON, show no payment data. This indicates these providers are not among the top 1,000 NDIS providers by payment volume. Description of second chart: This chart focuses on the annual and six-month growth rates for Hireup, Humdrum, and Like Family, the only providers with available growth rate data. Hireup: Annual Growth: 8.47% Six-Month Growth: 1.22% Humdrum: Annual Growth: 35.24% Six-Month Growth: 7.75% Like Family: Annual Growth: 14.4% Six-Month Growth: 4.66% For context, the chart includes horizontal lines showing the overall NDIS payment growth rates: Annual Growth for NDIS: 22% Six-Month Growth for NDIS: 9.3% Payments data excludes payments by self-managed participants and by plan managers to unregistered providers. Data is from a Freedom of Information (FOI) disclosure by the NDIA (IR 24/25-009) on the largest 1,000 NDIS providers by payments. The FOI Disclosure Log is available on the NDIS website. #NDIS #PlatformProviders #PreventiveCare #HealthcareInnovation #OpenData #CareIndustry

For-profit NDIS providers are expanding over three times faster annually than non-profits, indicating a significant market shift. Analysis of NDIS payments to the largest 1,000 providers shows: Non-Profit Providers Annual Growth (June 2023 to June 2024) - Total payments increased from $8.82 billion to $9.16 billion. - Average annual growth across providers: 5.9% - Aggregate growth: 3.9% Six-Month Growth (December 2023 to June 2024) - Payments rose from $8.97 billion to $9.16 billion. - Average growth across providers: 1.7% - Aggregate growth: 2.1% For-Profit Providers Annual Growth (June 2023 to June 2024) - Total payments rose from $5.82 billion to $8.04 billion. - Average annual growth across providers: 22.4% - Aggregate growth: 38.1% Six-Month Growth (December 2023 to June 2024) - Payments increased from $6.43 billion to $8.04 billion. - Average growth across providers: 7.2% - Aggregate growth: 25%

NDIS reliance doesn't strongly influence profitability but is often linked to lower total revenues. Analysis based on total revenues of non-profits and NDIS funding for the 12 months to 30 June 2023 show that higher reliance on NDIS funding does not strongly influence profitability. Profit margins among non-profit providers vary widely across different levels of NDIS revenue share. Non-profit providers with a higher proportion of revenue from NDIS tend to have lower total revenues, suggesting potential reliance on this funding stream. #ndis #nonprofits

Performl's submission to federal, state and territory treasurers on open-data-driven market stewardship by government in care systems. We recommend introducing a National Competition Principle for care markets to promote open access to key government data so providers and consumers can make informed choices. As a first step, we propose establishing a minimum open dataset for care markets. Additionally, we recommend the development of an intergovernmental framework and stakeholder forum to accelerate open-data-driven market stewardship by government in care systems. Australia’s $350 billion care system is growing unsustainably, yet too many Australians still face preventable disadvantages. Experts agree preventive care addressing the social determinants of health is crucial for creating an effective and sustainable system. But the delivery of preventive care is complex, involving over 300,000 competing service providers and millions of consumers making daily choices about care services. Providers need data to target care, and consumers need information to make informed choices. Open access to these critical knowledge assets is essential for the care system’s success. However, widespread information asymmetry undermines Australia’s care system, leading to inefficiencies and poor outcomes. Systemic issues with open data prevent providers and consumers from fully using the information currently available. Moreover, government agencies too often withhold essential care data, which could by used to help improve decision-making. The 2017 Productivity Commission Data Availability and Use Inquiry estimated that billions in potential savings are lost due to the poor use and limited availability of open data in care systems. Performl’s experimental product has analysed over 250 million cells of open data on the needs of people with disabilities and their service providers. This technology is now used by government, researchers, philanthropy, and disability care providers covering 10% of the NDIS market by payments. Performl’s technology helps direct more than $3 billion in preventive care for over 35,000 people with support needs. For example, one experiment identified a gap in speech therapy services for rural children, leading to new services that improve wellbeing, create economic benefits, and reduce future care costs. Performl is now advancing collaborative R&D to expand this proof-of-concept into an AI analytics platform for the broader care industry. We aim to support government to safely release more useful open data and promote open access to critical market information currently withheld by government to drive competition, productivity, and sustainability. #careeconomy #agedcare #ndis #veteranscare #childcare #medicare #pbs

Looking forward to presenting at, and learning from, the National Disability Services conference in Canberra this morning. We will be exploring NDIS evaluation metrics on equity, effectiveness, and efficiency to help providers build high-quality support models. #ndis

DRMC Communique is out. Governments to publicly release Disability Reform Roadmap, consult on the design of foundational supports, and acknowledge market challenges following the Annual Pricing Review. #ndis

In the quarter to June 2024, there's been an overall decrease in children 0-6 in the NDIS. But decreases were concentrated in children with developmental delay and autism. There was a small increase in children with global developmental delay (when a child has multiple skills that are slow to develop). #ndis #foundationalsupports