Economie et Statistique / Economics and Statistics n° 524-525 - 2021 Varia

Economie et Statistique / Economics and Statistics
Paru le :Paru le07/07/2021
Louis Arnault and Jérôme Wittwer
Economie et Statistique / Economics and Statistics- July 2021
Consulter

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

No 524-525

Paru le :07/07/2021

Abstract

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.

Article (pdf, 1 Mo )

Online appendix (pdf, 80 Ko )

Citation: Arnault, L. & Wittwer, J. (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, 524-525, 85–102. doi: 10.24187/ecostat.2021.524d.2042