Individualized disability support schemes and their impact on autism diagnoses

This paper examines the impact of individualized funding for disability supports on autism diagnoses. We identify these effects using the staggered roll out of the National Disability Insurance Scheme (NDIS), which provides individualized funding for non-medical disability interventions. We find compelling evidence that the introduction of the NDIS has led to a 32 % increase in reported autism prevalence and accounts for 47 % of new diagnoses since the introduction of the scheme. We find a significant reduction in diagnoses from government subsided healthcare professionals, accompanied by an increase in diagnoses from disability service providers. A lower threshold for autism recognition appears more consistent with our results than catch-up in historically underdiagnosed groups.

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Publication Details

Journal
Journal of Health Economics
Published
2025-12-20
DOI
https://doi.org/10.1016/j.jhealeco.2025.103100
Primary Topic
Autism Spectrum Disorder Research
Type
article
Field-Weighted Citation Impact
0.00

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article

Individualized disability support schemes and their impact on autism diagnoses

Robert Breunig, Maathumai Ranjan
Journal of Health Economics
Autism Spectrum Disorder Research
article

Individualized disability support schemes and their impact on autism diagnoses

Robert Breunig, Maathumai Ranjan
article en

Abstract

This paper examines the impact of individualized funding for disability supports on autism diagnoses. We identify these effects using the staggered roll out of the National Disability Insurance Scheme (NDIS), which provides individualized funding for non-medical disability interventions. We find compelling evidence that the introduction of the NDIS has led to a 32 % increase in reported autism prevalence and accounts for 47 % of new diagnoses since the introduction of the scheme. We find a significant reduction in diagnoses from government subsided healthcare professionals, accompanied by an increase in diagnoses from disability service providers. A lower threshold for autism recognition appears more consistent with our results than catch-up in historically underdiagnosed groups.

Journal of Health EconomicsVol. 105
Australian National University (AU)
Australian Government, National Disability Insurance Agency
Openalex Percentile: Top 58%
Autism Spectrum Disorder Research
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