Resumen de Quasi-markets Targets and the Evaluation of Nursing-home Funding in the Valencian Region

Amadeo Fuenmayor Fernández , Rafael Granell Pérez , María Angeles Tortosa Chuliá

• Spanish long term care is in danger, therefore we propose a change in the nursing home funding system.

  We use as an example the extremely complex nursing home financing system of Valencian Region.

  In this region, there are many funding mechanisms: two types of public subsidies, two different accessibility plans, a voucher scheme and a cash benefit approach related to residential service. We evaluate these methods through the quasi-market theory. We find that these approaches have negative impact on equity, efficiency and freedom of choice and we propose a new, homogeneous financing method for all nursing homes through voucher.