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Stop der 'Preiswalze'? Führt das Pflege-Versicherungsgesetz zu einer Angleichung und Begrenzung der Heimentgelte?

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  • Roth, Günter
  • Rothgang, Heinz
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    Abstract

    Mit Einführung der 2. Stufe der Pflegeversicherung zum 1.7.1996 wurde die Vergütung von Pflegeeinrichtungen neu geregelt, womit insbesondere ein Beitrag zum Stop der seit Anfang der 70er Jahre beklagten 'Preiswalze' geleistet werden sollte. Neben der Umstellung von einer retrospektiven Kostenerstattung auf prospektiv vereinbarte Heimentgelte, der Vorgabe von Höchststeigerungsraten und der Einführung von Wirtschaftlichkeitsprüfungen wurde auch eine Standardisierung der Heimentgelte angestrebt. Die theoretische Betrachtung zeigt, daß eine Kostenbegrenzung nur gelingen kann, wenn die Vergütung nicht mehr nach den individuellen, sondern nach den Durchschnittskosten vergleichbarer Einrichtungen festgelegt wird. Die Analyse von Daten aller rheinländischer Pflegeheime zeigte, daß die Preissteigerungen zwischen 1995 und 1998 gegenüber früheren Zeiträumen geringer, jedoch immer noch beachtlich ausfielen und über dem gesetzlichen Rahmen lagen; gleichzeitig hat aber eine Angleichung der Entgelte stattgefunden, was die Möglichkeit für zukünftige Kostenbegrenzungen verbessert. -- The current articles examines whether the newly introduced long-term care insurance leads to more price control in nursing home care. On a theoretical level it is argued that only a shift from individual pricing to pricing on the basis of average costs can serve this purpose. Based on data from all rhenish nursing homes the empirical analysis reveals between 1995 and 1998 a still considerable increase in and a decreasing deviation among nursing home rates. Though the former result is disappointing the latter bears potential for more successful future price control, since more equal prices are a prerequisite for pricing on an average cost basis.

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    Bibliographic Info

    Paper provided by University of Bremen, Centre for Social Policy Research (ZeS) in its series Working papers of the ZeS with number 11/1999.

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    Date of creation: 1999
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    Handle: RePEc:zbw:zeswps:111999

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