Volume 47 | Number 1pt1 | February 2012

Abstract List

Pamela Nadash, Pamela Doty, Kevin J. Mahoney, Matthias Schwanenflugel


To uncover lessons from abroad for ommunity iving ssistance ervices and upports (), a federally run voluntary public long‐term care () insurance program created under the ccountable are ct of 2010.

Data Sources

Program administrators and policy researchers from ustria, ngland, rance, ermany, and the etherlands.

Study Design

Qualitative methods focused on key parameters of cash for care: how programs set benefit levels; project expenditures; control administrative costs; regulate the use of benefits; and protect workers.

Data Collection/Extraction Methods

Structured discussions were conducted during an international conference of experts, followed by personal meetings and individual correspondence.

Principal Findings

Germany's self‐financing mandate and tight targeting of benefits have resulted in a solvent program with low premiums. Black markets for care are likely in the absence of regulation; rance addresses this via a unique system ensuing legal payment of workers.


Programs in the five countries studied have lessons, both positive and negative, relevant to design.