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Are Personal Budgets a Financially Sound Reform Option for the German Long-Term Care Insurance?

Melanie Arntz () and Stephan Thomsen ()

Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), 2010, vol. 230, issue 4, 378-402

Abstract: In a long-run social experiment, personal budgets have been tested as an alternative home care program of the German long-term care insurance (LTCI). By granting the monetary value of in kind services in cash, personal budgets are considered to enable customized home care arrangements, thereby avoiding costly nursing home care and thus saving LTCI spending. However, personal budgets also compete with the already existing and less generous cash option of the LTCI. Any transition from the receipt of cash benefits to personal budgets thus challenges the view of personal budgets as a cost savings device, unless personal budgets sufficiently reduce the use of costly nursing home care to balance these extra costs.

Keywords: Long-term care; long-term care insurance; consumer-directed home care; spending (search for similar items in EconPapers)
Date: 2010
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