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Simon Guthrie

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Scheme overview
National Disability Insurance
Scheme (NDIS)
Simon Guthrie
14 June 2017
Actuary

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What is the NDIS?

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Key insurance principles
• The risk of disability affects all Australians. Resulting financial costs may be
too much for a...

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Simon Guthrie

  1. 1. Scheme overview National Disability Insurance Scheme (NDIS) Simon Guthrie 14 June 2017 Actuary
  2. 2. What is the NDIS?
  3. 3. Key insurance principles • The risk of disability affects all Australians. Resulting financial costs may be too much for any individual or family to bear • The NDIS is a way of pooling these risks • Each year, all tax payers pay a premium to cover the costs of running the NDIS and providing care and support to participants • We are all at risk of being affected by disability. We all share the risk and the cost of disability. We are all covered if and when we need it
  4. 4. Economic benefits
  5. 5. Choice and Control
  6. 6. NDIS and mainstream systems • The National Disability Strategy outlines a vision where Australia is an inclusive society and enables people with disability to fulfil their potential as equal citizens. • To achieve this vision, all Australian governments, non-government organisations, business and the wider community have a role to play. • The NDIS is not intended to replace the supports or services provided by other mainstream systems • Wherever possible we assist participants to access mainstream systems • A participant’s plan may include a range of supports provided by informal, mainstream and community networks. Some of these may be funded by the NDIS.
  7. 7. NDIS and the Healthcare system NDIS will fund supports which help the participant manage ongoing functional impairment that results from their disability. – Supports that enable participants to undertake activities of daily living – Non-clinical supports – Aids and equipment – Some exceptions – nursing care that is integrally linked to care and support • The health system is responsible for assisting participants with clinical and medical treatment. • Diagnosis and clinical treatment of health conditions (including ongoing or chronic) • Supports directly related to maintaining or improving health status • Rehabilitation and support after a medical or surgical event • Medications and pharmaceuticals
  8. 8. Partners in the Community Local Area Coordinators (LACs) and Early Childhood Early Intervention (ECEI) partners will: • support some participants and their families to join in and contribute to the life of their community, and • assist with the planning process, plan implementation and community participation.
  9. 9. Market Opportunity Assessing the range of opportunities • Who are the customers, how do we find them and what are their needs • What is my best strategy to be sustainable • What are my service costs and what price can I achieve • What are the peripheral opportunities (not participant services) Understanding the “rules of engagement” • What are the compliance and reporting requirements • How can we track and report on the outcomes Quality & Safeguards requirements • Are we confident in processes manage Conflicts of Interest • What systems and processes do I need to work with the agency
  10. 10. The start of transition
  11. 11. Where we are now
  12. 12. For more information

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