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Quasi-markets Targets and the Evaluation of Nursing-home Funding in the Valencian Region

Amadeo Fuenmayor (), Rafael Granell and María Angeles Tortosa ()
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María Angeles Tortosa: Universidad de Valencia

Hacienda Pública Española / Review of Public Economics, 2016, vol. 216, issue 1, 13-38

Abstract: Spanish long term care is in danger, therefore we propose a change in the nursing home funding sys¬tem. We use as an example the extremely complex nursing home financing system of Valencian Region. In this region, there are many funding mechanisms: two types of public subsidies, two different acces¬sibility plans, a voucher scheme and a cash benefit approach related to residential service. We evaluate these methods through the quasi-market theory. We find that these approaches have negative impact on equity, efficiency and freedom of choice and we propose a new, homogeneous financing method for all nursing homes through voucher.

Keywords: Long term care; nursing homes; quasi-markets; vouchers (search for similar items in EconPapers)
JEL-codes: H44 H53 I38 (search for similar items in EconPapers)
Date: 2016
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