The Effect of the 2015 Reform of the Personalized Autonomy Allowance on the Care Plans Notified to Beneficiaries

Effet de la réforme de l’APA à domicile de 2015 sur les plans d’aide notifiés aux bénéficiaires

Louis Arnault () and Jérome Wittwer
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Louis Arnault: DREES - Centre de Recherche du DREES - Ministère de l'Emploi et de la Solidarité
Jérome Wittwer: UB - Université de Bordeaux

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Abstract: The law on the adaptation of society to ageing, which reformed the home care allow- ance APA, entered into force on 1 March 2016. This article aims to study the effect of this on the amounts proposed in plans by the medical and welfare teams (EMS), first theoretically and then empirically, on more than 300,000 beneficiaries in 2011 and 2017. The analysis is based on individual data from the statistical services of the Ministry of Health and Social Affairs (DREES). The average amount offered to beneficiaries assessed as belonging to the iso‑resource group of dependence (GIR) 3, 2 or 1 saw a respective increase of €16, €49 and €57 between 2011 and 2017. The amount offered to most beneficiaries allocated to GIR 4 decreased, other things being equal. Within each GIR, in 2017, the amounts granted are more widely distributed, in both directions, which suggests that constraints on départements' council budgets have led EMS to cut allowances for people with relatively more autonomy so as to provide more funding for the most severely dependent people.

Keywords: public assistance; reform; censored quantile regressions; loss of autonomy; régressions quantiles censurées; réforme; aide publique; Perte d’autonomie (search for similar items in EconPapers)
Date: 2021
Note: View the original document on HAL open archive server: https://insee.hal.science/hal-05219675v1
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Published in Economie et Statistique / Economics and Statistics, 2021, 524-525, pp.85 - 102. ⟨10.24187/ecostat.2021.524d.2042⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05219675

DOI: 10.24187/ecostat.2021.524d.2042

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