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

Louis Arnault and Jérôme Wittwer

Economie et Statistique / Economics and Statistics, 2021, issue 524-525, 85-102

Abstract: [eng] The law on the adaptation of society to ageing, which reformed the home care allowance 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.

JEL-codes: H75 J14 J18 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.insee.fr/en/statistiques/fichier/53961 ... nault-Wittwer_EN.pdf (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:nse:ecosta:ecostat_2021_524d_6

DOI: 10.24187/ecostat.2021.524d.2042

Access Statistics for this article

Economie et Statistique / Economics and Statistics is currently edited by Dominique Goux

More articles in Economie et Statistique / Economics and Statistics from Institut National de la Statistique et des Etudes Economiques (INSEE) Contact information at EDIRC.
Bibliographic data for series maintained by Veronique Egloff ().