Alison Evans Cuellar, Jane Tilly, and Joshua M. Wiener
Publication Date:
10-2000
Content Type:
Working Paper
Institution:
Urban Institute
Abstract:
A major innovation in long-term care for elderly persons in the United States and Europe is the development of consumer-directed home care. These governmental programs give consumers, rather than home care agencies, control over who provides services and how these services are delivered. Typically, consumer-directed programs allow the consumer to hire, train, supervise, and fire the home care worker. In some programs, beneficiaries receive cash payments enabling them to purchase the services they want. In contrast, traditional home care programs rely on public or private agencies to supply and supervise the workers who serve program beneficiaries.
Topic:
Economics, Human Welfare, and Health Care Policy
Political Geography:
United States, Europe, France, Germany, Netherlands, and Austria