In this episode, Minh & Debbie discuss an open letter from Katalin Jakus (Hand in Hand Support Coordination) to Ministers, outlining critical NDIS concerns:
Unethical Referral Fee Practices
- Some NDIS providers pay referral fees to hospitals, government staff, and Support Coordinators.
- This practice, originating before the NDIS legislation, is described as unethical and undermines participants’ best interests.
- These incentives skew discharge decisions, limit provider choice, and risk care quality.
- Consequences include "double-dipping" (charging twice for the same service), distorted competition, and prioritising profits over participant needs.
Conflict of Interest Risks
- Participants may face biased service options, undisclosed conflicts, or monopolised supports (e.g., one provider controlling coordination, plan management, and housing).
- Support Coordinators providing direct services may prioritise business interests over participant welfare.
Calls for Stronger Safeguards
- While recent NDIS conflict-of-interest guidelines are a step forward, the letter urges targeted action against referral fees.
- The goal is to ensure decisions prioritise participant care- not financial incentives - and to improve sector-wide accountability.
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