Does independent needs assessment limit use of publicly financed long-term care?

نویسندگان

چکیده

In health care the assessment of patients’ needs is typically entrusted to providers. By contrast, in publicly financed long-term (LTC) often delegated an independent assessor. One rationale offered for LTC limit scope moral hazard and supplier-induced demand, which may be particularly strong case public insurance. We study whether restricts use at intensive margin (i.e. after people are being assessed eligible receiving care). Therefore, we link nationwide Dutch administrative datasets about individual eligibility decisions by agency 2012. find virtually all types care, population subgroups, regions that patients was substantially less than maximum amount allowed This suggests Netherlands does not impose a binding constraint on once person considered care. Still, have reduced extensive margin. A significant proportion applications (16 %) rejected. addition, deter some from applying.

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ژورنال

عنوان ژورنال: Health policy

سال: 2021

ISSN: ['1872-6054', '0168-8510']

DOI: https://doi.org/10.1016/j.healthpol.2020.09.003