Renee F.’s Post

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im not an academic i just have questions... Autistic | ADHD | INFJ | Aries/Taurus cusp | Wood Ox | Life Path 11 | Soul Urge 11 | Personality 11 | Expression 22 | Maturity 33

Ah, the Australian government – launching another "pilot" program to test the waters of common sense. A blended payment model? What’s that, a smoothie of good intentions mixed with the bitter aftertaste of bureaucratic inefficiency? So let me get this straight, providers will be paid not just for showing up, but also for actually helping people achieve their goals. Revolutionary idea! Imagine paying people for outcomes and not just their time—how did we not think of this before? Next thing you know, they'll suggest politicians be paid based on whether they deliver on campaign promises. Oh, wait—probably not, too risky. And then there’s the $24.6 million commitment for this pilot over four years. Sounds impressive, but that's less than a speck of dust in the $50 billion projected NDIS costs by 2025-26. So, they're hoping that by tossing a few coins at 31 providers, they’ll magically figure out how to solve deeply entrenched issues like underfunded support coordination and SIL care. It’s like putting a Band-Aid on a broken leg and hoping the swelling goes down. And don't get me started on the "outcome-based payments" part. It's almost as if they’ve realized that maybe, just maybe, incentivizing quality over quantity could work. Too bad they didn’t apply this logic to other sectors, like say… education or healthcare. Maybe we wouldn’t be neck-deep in "services rendered" but barely scraping the surface on "lives improved." Oh, and the cherry on top: they’re trialing this with vulnerable people. You know, the ones who can least afford for this grand experiment to fail. Nothing screams “we care” like using people with complex, high needs as guinea pigs in a government-funded R&D project. Because when you’re dealing with human lives, it's always best to try out untested ideas with the most vulnerable first, right? But at least they’re finally responding to concerns from high-quality providers who are drowning under the current system. I’m sure the criteria for selecting providers will be as transparent and flawless as every other government selection process. It's not like any of them have ever picked winners based on politics or profit margins, right? Can’t wait to see how they measure "success" in these pilots. Is it just about participants reaching their goals, or will it include how much money the government saves by not paying for services that don't meet the mark? Because, let’s be honest, we all know who the real "participant" is in these programs. It’s not the disabled individuals, it’s the government’s bottom line. Marie J. Dr Rodney Jilek MAICD Mark Sweeney Samantha Connor Jane Scott ♿ Veronica Stephan-Miller Erin McGrath Tara Hannon Annette A. Karrie Brockovich Shirley Humphris Bob Buckley Peter Gregory Jarrod Sandell-Hay Cat Walker Uli Cartwright Katy Gagliardi Graham Taylor https://lnkd.in/gv4ttjCj

Ensuring NDIS participants can access the best supports – pilot initiatives

Ensuring NDIS participants can access the best supports – pilot initiatives

ministers.dss.gov.au

Byron Stol

Mental Health Activist

1mo

Ditto: "don't get me started on the "outcome-based payments". Whenever I hear references to outcome measures it deeply concerns me. I experienced this under the block funding model prior to NDIS and it was horrendous. I was assessed every 6 months or so, can't remember exactly, by workers in a mental health support program. I hated it. I was made to go through assessment forms to see if I was improving and encouraged to make out I had when in reality nothing had changed. At other points I felt pressured to leave the service because of I was supposed to have been fixed, but I refused. Still not fixed. My bad lol. I was repeatedly told the assessment was for me to see how far I'd come. Yeah nah, it was to prove to the state government the organisation was deserving of ongoing funding by demonstrating supposed outcomes for clients. I found it traumatic being forced to participate in these assessments to measure outcomes. Who is going to determine these ableist outcome measures in these reforms. Why are they expecting people to improve. Just existing and remaining alive is an important outcome for many of us..

Graham Taylor

Advisor and Guide to individuals and families impacted by disability | Helping to navigate NDIS challenges, together

1mo

There were a number of interim papers published as part of the NDIS Review. One was titled "The role of pricing and payment approaches in improving participant outcomes and scheme sustainability" dated 2023. It discussed outcome-based payments in detail. It struck me as ... I'm struggling for words ... naïve. It seemed like a (post?)graduate economics paper. It annoyed me enough that I made a submission to the Review on that issue (among other submissions 🙄). I couldn't see how outcome pricing could work with NDIS as it was. After 3 October is another issue of course, with the NDIA gaining more power to decide what is best for us.

Margie Chandler-Cross

Medically Retired Auslan Interpreter. Child of Deaf Adults (Coda) Person with Disabilities.

1mo

So many Organisations believe they have high quality SW. I will go without SW to my detriment if my SW cannot work. The most recent SW I should have called the ambulance and the Acute Mental Health Unit on. I told her employer that she really isn’t well and should be receiving help. She was trying to convince me she was the best SW ever and at the same time she told me about her Mothers suicide and even told me how her mother did it. I said “Thanks for the tip’ then proceeded to write the product name down. Never put ideas in my head. She then went to talk about running away for four weeks and the boss was worried she wasn’t coming back. She continued on talking about the abuse she has suffered through out her lifetime, her alcoholism, her daughter who is addicted to recreational drugs and the problems she is having with her and the stress of her granddaughter. OMG! My book SW read which I made her read once before has my, safety plan in it. It also requests SW not to discuss trauma and mental illness with me. That is not being supportive! Never again. I do believe she has her employer brainwashed. The more talk about being the best support worker ever the more some will believe that it must be true.

Jane Scott ♿

Capacity Development Coordinator

1mo

Will it be about reaching our goals or someone else's? Having been subject to the Jobseeker system, which offers payments to providers and employers based on outcomes, I have very low expectations for this plan.

Veronica Stephan-Miller

Nothing about me, without me

1mo

Another distraction, and they’ll likely want a pat on the head and told what a good job they’re doing on this, too. 🤦🏻♀️

Shaughan Abbott

Assistant @ disabled| Office Support, Interpersonal Skills

1mo

Great perspective

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