The Decision We Didn’t Want and Are Now Facing
For months, Allied Health Business Owners across Australia have raised their voices – we’ve written letters, signed petitions, and held meetings. We’ve shared stories of hardship and hope, all in the name of fair pricing and a sustainable future for the sector. And yet, despite our best efforts, the NDIA has chosen not to change the Annual Pricing Review (APR) recommendations. The result? Another year of stagnant or reduced prices, with little recognition of the real costs and challenges faced daily.
It’s a decision that really serves a bitter blow. But if there’s one thing I know about this sector (as an OT, and having been an Allied Health Business Coach for many years), it’s that we are nothing if not resilient! We have weathered storms before, and we will do it again. Now, more than ever, it’s time to pull together, adapt, and chart a sustainable path forward for ourselves, our teams, and, more importantly, the people we support.
The Cold Reality: What the NDIA’s Decision Means for Allied Health Business Owners
Let’s not sugarcoat it, the NDIA’s refusal to adjust the APR recommendations is unconscionable. We had hoped for relief—an acknowledgment of the financial realities on the ground. Instead, we’re left with tough decisions and even tougher conversations with our teams and clients.
This isn’t just about numbers on a page. It’s about the Allied Health Business Owners who are stretched to their limits, the rural communities losing access to vital services, and the participants whose choices and opportunities are shrinking. It’s about the Allied Health Business Owners lying awake at night, wondering how to keep the doors open.
But as hard as it is, this is not the end of the story.
Resilience in Action – How the Industry Responds
If the last few years have taught us anything, it’s that Allied Health Business Owners are some of the most adaptable and resourceful people. When faced with challenge, the industry gets creative.
Simplifying, stripping away the non-essentials, focusing on what matters most, and finding better efficiencies time and time again. I’ve been immensely impressed by our clients’ ability to rework service models and make every dollar count.
When traditional approaches don’t work, the only answer is to pivot, and I’ve seen incredible innovation in the last few years – whether it’s adopting telehealth, building new partnerships, or reimagining service delivery. As the saying goes, “Necessity is the mother of invention”, and it’s true.
There’s also the support shared among one another. In moments of uncertainty, the strength of our community shines through. Sharing ideas, offering encouragement, and celebrating wins—big and small.
Above all else, I’m most proud of the determination to put clients first. No matter what.
“The oak fought the wind and was broken, the willow bent when it must and survived.”
— Robert Jordan
Navigating the New Normal: Practical Steps for Moving Forward
So, where do we go from here?
1. Scenario Planning
Now is the time to get clear-eyed about your numbers. Map out different scenarios—best case, worst case, and everything in between. Understand your break-even point, identify your most and least profitable services, and don’t be afraid to make tough calls. Knowledge is power.
2. Streamline and Simplify
Audit your processes. Where can you save time or resources? Can you automate admin tasks, renegotiate supplier contracts, or consolidate roles? Every bit of efficiency helps.
3. Innovate Your Service Model
Are there new ways to deliver value to your clients? Could group programs, telehealth, or community partnerships open up new revenue streams or reduce costs? Stay open to change.
4. Invest in Your Team
Your people are your greatest asset. Prioritise regular check-ins, offer support, and keep communication open.
5. Seek Informed Business Support
You do not have to do this alone. Now, more than ever, good, sound, and informed business support is invaluable. Whether it’s financial advice, HR expertise, or sector-specific coaching, don’t hesitate to reach out for help.
6. Look After You.
Allocate rest, thinking time, nutrition, movement as best you can. Don’t be shy to reach out for mental health support. We all need a little extra help sometimes.
“Out of adversity comes opportunity.”
— Benjamin Franklin
You Are Not Alone: Lean on Your Community
It’s easy to feel isolated in moments like this. The weight of responsibility can feel overwhelming, and the path ahead may seem uncertain. But remember this, you are part of a community of thousands who are facing the same challenges and asking the same questions. Together, we are stronger.
Reach out, share your story, ask for help when you need it, and offer it when you can. The sector will rise to meet this moment—not because it’s easy, but because we are determined, adaptable, and driven by purpose.
Rising to the Challenge—Together
The NDIA’s decision to stick with the current APR recommendations is not what we wanted. It’s not what our sector deserves, and we are absolutely disgusted. But it does not define us.
Now is the time to double down on what makes us strong: our commitment to quality, our willingness to adapt, and our refusal to give up in the face of adversity. With the right support, clear strategy, and a united community, we can (and will) navigate this new landscape.
At Nacre Consulting, we’re here for you every step of the way – whether as a sounding board, or for help to create your strategic plan, reach out if you need to.
Standing with you,
Cathy Love & The Nacre Consulting Team
