Empathia Group · NDIS Strategy · Supported Independent Living

SIL commissioning is coming.

The NDIA purchases $16 billion in Supported Independent Living supports annually for nearly 37,000 participants. The largest single provider, however, holds under 4% of the market. This analysis details why that fragmentation will end, the specific legislative mechanisms now before Parliament that set the stage, and a data-driven projection of where your organisation will sit when commissioning reshapes the sector.

By Empathia GroupStrategic analysis~18 min read · interactive
$0bn
Annual SIL spend
0
Active SIL participants
<0%
Largest provider share
20–30
Providers that will matter

The fundamental challenge of the SIL market is a structural one, not a matter of regulatory oversight or provider goodwill. A single government buyer procuring a complex human service from a highly fragmented supply base cannot effectively govern either quality or price. The reform trajectory, starting with standardised needs assessment and culminating in formal commissioning, is designed to correct this by consolidating the market into a panel of providers the Agency can hold accountable.

The legislation currently before Parliament standardises how SIL packages are assessed and funded. On its own, that is only the first half of the reform, and in isolation a counterproductive one. The second, complementary half is the move to a commissioning model, a policy direction the Government will begin consulting on in July 2026. Commissioning will deliberately consolidate the market. The analysis that follows is a prediction of the logic and shape of that consolidation, grounded in the same market dynamics that saw Australian employment services contract from over 300 providers to 43.

01. The market

The current market architecture

The SIL market is defined by three critical figures. The NDIA purchases approximately $16 billion in supports each year for close to 37,000 participants from a supply base of many thousands of registered providers. The largest of these commands under 4% of national market share, and the top ten combined account for barely one-tenth of the total.

This level of fragmentation for a $16 billion procurement is highly unusual. It is the direct cause of two persistent and fundamental problems: the Agency's inability to differentiate the quality of support from one provider to another, and its inability to control the escalating price of that support. In economic terms, SIL exhibits the characteristics of both a market for lemons, where quality is unobservable and bad providers drive out good ones, and a common goods problem, where every party involved in setting a participant's funding level has an incentive to push it higher.

Exhibit 1
A fat head on a hollow tail
Every registered provider, ranked by the size of its book. The largest sits under four percent of the national total, the top fifty hold about a third between them, and the long tail delivers almost nothing.
top fifty providers (~one third of the market)the hollow registration tail4% national ceiling
Calibrated to the two published anchors (largest provider under 4%, top fifty about a third of payments). Shape is illustrative; the live data sits behind the NDIA's published concentration data.
02. The precedent

A clear precedent in Australian services

The proposition that a government buyer would deliberately consolidate a human-services market has a close and well-documented precedent. Federal employment services underwent an 86% reduction in provider numbers, from 300 organisations under the Job Network to just 43 under Workforce Australia.

Exhibit 2
Three hundred organisations to forty-three
The provider count across four reform eras of federal employment services, an eighty-six percent contraction. The mechanism is the one now arriving in SIL: a requirement for providers to service whole regions.
organisations (corporate roofs)delivery sites: ~1,700 → 1,482 (held roughly steady)
Consolidation occurred at the level of ownership, not delivery. The services on the ground largely persisted; the number of corporate entities controlling them fell from three hundred to forty-three. Source: published NESA and departmental figures.

The contraction was driven by a single, powerful instrument: the requirement for providers to service entire geographic regions, bundling high-cost and low-cost clients into a single obligation. Critically, while ownership concentrated, the physical delivery footprint remained remarkably stable. The lesson is that the corporate roof above a service can change without disrupting the service itself, a process already common in the SIL sector through mergers, acquisitions, and the orderly transfer of participants and staff when a provider exits.

While SIL is a place-bound service, this does not break the precedent. Consolidation does not require moving a participant; it requires moving the corporate entity that holds the lease and employs the staff. The key design constraint this imposes is that every provider must remain small enough to be safely removed and its participants rehomed by the Agency. This "removability" is both the Agency's core lever and the essential safety mechanism of the entire structure.

03. The faults

Two economic faults that make SIL ungovernable

The quality problem is a direct consequence of information asymmetry. The things that matter most in a supported home (participant safety, dignity, and progress) are slow to materialise, hard to observe from outside the house, and difficult to attribute solely to a provider. Because the price is fixed, a provider that quietly under-services captures a higher margin than one that does not. In a fragmented market with a weak regulator, the honest provider is systematically disadvantaged.

The cost problem is driven by misaligned incentives in the planning process. The participant, their family, the provider, and the clinicians who shape the plan all have a reason to push the funding level up, and none of them bears the fiscal cost of that decision. This creates a structural bias toward escalation. The result is visible in the funding data: a fifth of participants consume close to half of all core daily-activities funding.

These two faults compound. A rational business model in the current market is to selectively recruit participants funded above their true cost of care and to escalate stated needs. The market structurally cannot reward a provider for moving a participant toward independence, because independence shrinks the package. It rewards the opposite.

The most damaging feature of the present structure is that it has made working against a participant's independence the commercially dominant strategy.

04. The funding

The two populations inside SIL funding

A clear understanding of how SIL funding is distributed is essential, as it reveals exactly which cohort the standardisation reforms will impact most heavily. Our analysis indicates that SIL funding is not a single population but two distinct groups combined into one distribution.

Exhibit 3 · Interactive
The two populations inside SIL funding
SIL funding comprises two separate cohorts. By adjusting the average package of the high-intensity cohort, you can observe how much of the total scheme spend the top fifth absorbs.
average funding of the 1:1-and-above cohort$850k
The top ~20% of participants run on 1:1 ratios and above. As their average package grows, the remaining shared-home cohort is compressed downward to hold the overall mean constant.
Median participant
$212k
80th percentile
$470k
Shared cohort mean
$201k
Top 20% share of Core DA
52%
$0.0M$0.3M$0.6M$0.9M$1.2M$1.5M$1.8Mparticipant densityannual Core Daily Activities funding
density (mixture)spend above the 1:1 threshold1:1 threshold (~$650k)effective mean ($330,622)
A single distribution cannot describe both groups at once. The full method is detailed at the foot of the page.

The majority of participants reside in shared, lower-ratio arrangements. A high-needs minority, however, are on one-to-one support and above, with annual packages starting around $650,000 and averaging closer to $850,000. This gap is too wide for a single smooth curve. As a bottom-up cross-check, a Roster of Care for a standard three-person shared house, priced at NDIS unit rates, produces a package of approximately $168,500 per participant per annum. The average core daily-activities package, however, is around $347,000. The difference between the two, measured from both the top-down distribution and the bottom-up roster, is the escalation margin that standardisation aims to close.

05. The legislation

What the legislation does

The National Disability Insurance Scheme Amendment (Securing the NDIS for Future Generations) Bill 2026, while framed as an integrity and sustainability measure, functions as the engine for this structural shift. Its practical effect is to fix each participant's plan within a reference range that cannot easily be escalated.

The assessment process is centralised within the Agency s32L(4A). While the validity literature for the likely assessment instrument, the I-CAN, is thin, the point is not clinical precision but standardisation. With every participant assessed against the same reference, packages can be normed.

  • Support coordination is being nationalised and plan management conflicts of interest are expressly prohibited.
  • Unscheduled reassessments are now gated behind a test of "genuine, significant and ongoing change," with the decision window extended to 90 days ss48A, 48(3).
  • Plans will auto-renew at existing funding levels, while merits review is preserved ss50A, 103A.
  • A new power allows the Minister to cut funding for a class of supports by a set percentage across all plans s34A.
  • The Minister can also directly cap the funding amount, intensity, or worker-to-participant ratio for a class of supports s33(2EA), a provision clearly aimed at the high-cost one-to-one cohort.

On its own, in an open market, this first half of the reform is a trap. It will not succeed; it will create the crisis that necessitates the second half.

06. The first half

Why standardisation alone makes things worse

Introducing standardised, compressed funding into a market with no provider obligations will not cut spend. It will strand participants. Compressing a package pushes a large cohort of individuals below the threshold at which a provider finds them commercially viable. With no obligation to serve, the rational provider response is to decline these unprofitable referrals.

The only release valve for the Agency in an open market is to raise the package back up until a provider is willing to accept the participant. The standardised number, therefore, does not hold. It undoes its own saving, while participants who are accepted at the compressed number risk being quietly under-serviced. This is the trap that makes the second half of the reform, commissioning, a structural necessity.

07. The bundle

The bundled slot as the solution

Commissioning changes the unit of procurement from an individual participant to a bundled regional slot. A provider wins a slot through competitive tender, and that slot is an obligation to serve every participant in a given region at the standardised allocation. Profitable and unprofitable participants are bundled into a single, indivisible obligation.

This is a universal-service obligation, a standard regulatory tool for solving stranding problems. The tender is the lever that binds the two together. Only inside this bundle can the standardised assessment deliver its fiscal saving, because the provider is now obliged to serve the stranded cohort at that rate.

08. The game

The end of the one-shot game

This structure transforms the provider's relationship with the buyer from a series of one-shot transactions into a repeated game across a national portfolio. The NDIA is a monopsony, the only buyer the provider will ever have. A defection in one region, under-servicing for instance, is visible to the buyer and can be punished across all other regions and in every future tender.

This echoes the economic logic of Bernheim and Whinston's multimarket contact theory, where the threat of aggregate punishment makes defection irrational. The fraud and quality problems in SIL have been misdiagnosed as enforcement failures. They are, in fact, problems of game structure. Converting a one-shot game into a repeated, portfolio-based one makes defection career-ending.

The real cost is a contraction of genuine participant choice, from a notional pool of thousands of providers to the few who hold slots in a given region. This is the trade-off: making the slot a meaningful obligation requires limiting the alternatives.

09. Enforcement

What the Agency can now enforce

A repeated game disciplines a provider only if the buyer can see, compel, and punish. The bill provides the Agency with these powers. It establishes the Agency's own monitoring, investigation, and search-and-seizure powers (Part 3C of Ch 4), the power to compel answers (ss54, 53(3)), and a reduced claim window of 90 days (s45A). Crucially, it also enables automated, evaluative decision-making at scale (ss59B to 59E).

This is not an incremental regulatory tightening. It is a shift from policing three thousand ungovernable strangers to managing a panel of twenty to thirty known counterparties, where the close, case-by-case management that hard cases require becomes feasible for the first time.

10. The limit

The limit on consolidation

If consolidation restores control, the logical extreme would be a market of just five or so mega-providers. This model, however, fails on the principle of removability. A provider holding several thousand participants becomes too large to be removed without stranding an unabsorbable number of vulnerable people. The Agency, which carries the ultimate safety obligation, would be unable to act.

The optimal provider is big enough to have everything to lose and small enough that the Agency can still take it.

The defensible level of consolidation sits in the space between a fragmented market that cannot be governed and a concentrated one that cannot be disciplined. This level can be derived from the Agency's own data.

11. The model

Reading the survivor count off the data

Our model determines the fewest providers consistent with keeping each one removable, using the NDIA's own 80 service districts as the geographic unit. In the first step, each district is assigned a minimum number of provider slots based on two competing limits: a viability floor of roughly a three-house cluster, and a removability cap of about 10% of a district's participants. The second step allocates these slots to providers based on their capacity for geographic reach.

Exhibit 4 · Interactive · the centrepiece
The scenario builder
Move the two dials and watch the surviving provider set rebuild. The bars are the providers that hold slots, largest to smallest; the meaningful set is the few that hold a real share of the national book.
Step 1 · slots from the regional floor and share cap
Total slots
715
Participants / slot
51
Uncontestable districts
15 / 80
maximum regional market share per provider10%
contestable districtuncontestable (floor binds)
Step 2 · the minimum provider set, by slot quality
Total survivors
62
Meaningful (≥1% national)
30
Largest book
1,837 (5.0%)
Avg / survivor
593
how far providers extend across districtsexpected
Drag left toward the consolidated market commissioning produces; drag right toward the fragmented reach of today. The meaningful count barely moves either way.
thick metro slotsmid slotsthin regional slotstoday's largest (1,320)5% cartel cap (1,840)
Slots are filled largest-first, each provider entering as many districts as its reach allows before the next begins, until every slot is filled. No provider exceeds 5% of the national book or 10% of any district.

The total number of survivors is unstable, ranging from several hundred local operators to around forty national ones depending on the reach parameter. However, the number holding a genuinely substantial book, the "meaningful set", is remarkably stable, sitting at twenty to thirty across the entire plausible range.

Exhibit 5
The number that does not move
The same model, swept across every plausible setting of provider reach. The total number of survivors swings from several hundred to around forty. The number that holds a real share of the market does not: it stays near twenty to thirty throughout.
total survivors (swings)meaningful set, ≥1% national (holds)
Slot quality, not slot count, separates a real provider from a position. How many providers survive in total is a distraction from the twenty to thirty that will actually matter.
12. The politics

Why the sector will not fight

The political impediment is smaller than it first appears. The Agency does not need to actively close providers. By controlling new participant allocation, and freezing it to targeted providers, it can let ordinary attrition bleed a provider's occupancy until it is no longer viable. This is consolidation by inaction, achievable even by a low-capability bureaucracy, and it is already occurring in the therapy market through the Thriving Kids reforms.

Furthermore, the constituency that usually defends incumbents is remarkably weak here. The providers facing consolidation are disproportionately small operators with little electoral weight. After the Royal Commission, the public is more likely to read a provider closure as the system cleaning itself up.

13. The upside

What the surviving providers gain

For the providers who will survive, this reform is not a punishment. It addresses the single largest destroyer of viability: vacancy. In a supported house, labour costs are fixed to the roster, while revenue is per-participant. A single vacancy can erase the entire margin on a thin 5% profit.

Exhibit 6 · Interactive
The vacancy detonator
A three-resident house, run on a thin five percent margin. The roster cost is fixed. Empty one bed and watch what happens.
+4.8%
effective margin · +$25k net
This is the single largest destroyer of viability in SIL. Commissioning addresses it by guaranteeing referral flow to the providers who hold slots.

Commissioning solves the vacancy problem by directing referral flow. If the Agency allocates participants to the providers holding slots, the structurally guaranteed occupancy that results is worth more than any margin improvement a provider could extract from roster optimisation alone. It converts an unstable, uncontrollable cost into a predictable one.

14. The position

What this means for your organisation

If you operate above the viability threshold and below the removability cap, commissioning is designed to reward you. The providers who can demonstrate, with data, that they deliver compliant, efficient, and participant-centred services will be the ones that win slots.

The providers who will lose are those that cannot account for what they deliver, those that have relied on funding escalation rather than operational discipline, and those that are too small to meet the obligations of a regional slot.

This is not a prediction about policy timing. It is an analysis of structural inevitability. The two halves of this reform, standardisation and commissioning, are complementary and sequential. The first creates the problem that only the second can solve. The question is not whether this will happen, but whether you will be positioned when it does.

Legislative Evidence

The provisions that close the escalation pathways

Each section reference below is drawn from the NDIS Amendment (Securing the NDIS for Future Generations) Bill 2026.

s32L(4A)
Standardised Needs Assessment
Centralises assessment within the Agency. The instrument (likely I-CAN) establishes a reference range; every package is normed against it.
ss48A, 48(3)
Reassessment Gate
Unscheduled reassessments require 'genuine, significant and ongoing change.' Decision window extended to 90 days.
ss50A, 103A
Auto-Renewal of Plans
Plans auto-renew at existing levels. Merits review preserved, but the escalation pathway is frozen.
s34A
Ministerial Across-the-Board Cut
The Minister can cut funding for a class of supports by a set percentage across all plans.
s33(2EA)
Ratio and Intensity Cap
The Minister can directly cap the funding amount, intensity, or worker-to-participant ratio for a class of supports.
ss59B to 59E
Automated Decision-Making
Enables algorithmic, evaluative decisions at scale: the infrastructure for governing a panel rather than policing a crowd.
Empathia Group

We advise providers preparing for this transition.

Our operational retainer resolves your performance to the level of the individual house and service line. If commissioning will select for providers that can demonstrate operational discipline, the time to build that capability is now.

Book a call
Empathia Insider

Sector analysis, in your inbox.

Occasional, considered analysis on SIL economics, NDIS reform, and provider viability. No noise, and you can unsubscribe anytime.

Method & Disclosure