Designing home care benefits: the range of options and experience.

Abstract:

:This article presents a framework identifying important home care benefit design decisions and reviews existing designs that have been adopted in practice. Four basic designs were identified, based on a review of 55 home care benefits drawn from public programs in the United States and foreign countries, and from private long-term care insurance policies in the United States. Three of these designs-service entitlements, managed-service benefits, and cash disability allowances--have each been adopted by public programs in the United States and abroad, and by private insurance policies in the United States. A fourth design--individualized cash benefits--has been adopted in only one experimental program. The designs observed in practice are remarkably varied, providing evidence that many alternative designs are feasible. Experimentation, particularly with cash disability allowances, is needed to determine the relative costs and benefits of various designs.

journal_name

J Aging Soc Policy

authors

Freedman VA,Kemper P

doi

10.1300/J031v07n03_08

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

129-48

issue

3-4

eissn

0895-9420

issn

1545-0821

journal_volume

7

pub_type

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