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

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  • Louis Arnault
  • Jérôme Wittwer

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.

Suggested Citation

  • Louis Arnault & Jérôme Wittwer, 2021. "The Effect of the 2015 Reform of the Personalized Autonomy Allowance on the Care Plans Notified to Beneficiaries," Economie et Statistique / Economics and Statistics, Institut National de la Statistique et des Etudes Economiques (INSEE), issue 524-525, pages 85-102.
    • Handle: RePEc:nse:ecosta:ecostat_2021_524d_6
    DOI: https://doi.org/10.24187/ecostat.2021.524d.2042
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    References listed on IDEAS

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    1. Gabrielle Fack & Camille Landais, 2010. "Are Tax Incentives for Charitable Giving Efficient? Evidence from France," American Economic Journal: Economic Policy, American Economic Association, vol. 2(2), pages 117-141, May.
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    More about this item

    JEL classification:

    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy

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