The Top 10 NDIS Providers in 2024: Difficulty at scale and lessons for the sector

There’s a persistent rumour in the disability sector that the National Disability Insurance Agency (NDIA) is slowly corralling services into just a handful of mega-providers. But does that theory hold water? Our look at the top 10 attendant care non-profits suggests it might not. Despite commanding over billions in combined revenue, these organisations still occupy a surprisingly small slice of total NDIS payments and the same difficult operating environment, albeit at substantial scale.

Recent Federal Court Rulings on NDIS Payment Reviews

Two recent Federal Court decisions have shed new light on how the National Disability Insurance Agency (NDIA) handles payment reviews for NDIS service providers. While no doubt many of you have heard of “periodic payment reviews”, these cases provide some crucial insight into how they function. If you operate in this space—especially on thin margins—understanding these rulings may be critical to protecting your organisation’s cashflow and ensuring regulatory compliance.