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1 Personalized budgets and direct payments Conference Sofia May 2007
2 Aspects First ideas and first reactions Payment and bottlenecks Positions and discussions Stake-holders views Accepted models Perspectives
3 First ideas and first reactions Panacea Threat Black economy Grandma in the coal-shed Unemployment Overspending Cost-reduction
4 Payments and bottlenecks(1) Services paid by governments Part of social security Based on: bed, place Three parties: user, provider, third paying Own contribution Limited or no influence
5 Payment and bottlenecks (2) Paradigm changes to be cashed Specialised services Differentiation One bed: 15 users Increasing special needs Governments stepping back Market-orientation
6 positions No patronizing Jetzt entscheide ich selbst I am the boss Wie betaalt bepaalt The might is the right Avoir cs pouvoir
7 Discussions No doubt about the paradigm Equal rights and participation accepted But what about the consequences Are we ready for changing the system
8 Stake-holders (1) Service providers: We know what is needed Mission impossible Complicated Not a free market Users capable? Staff?
9 Stake-holders (2) Governement: Support service-users Market Black money Employment Cost-reduction
10 Accepted models Own budget Voucher system In natura Payment on the basis of assessment Care weight as basis Integration budget
11 Perspectives Accepted as consequences of the paradigm change Increasing interest from all stake- holders Challenging providers
12 Perspectvies Inclusive services Service providers as specialist Special attention for special needs Increasing number of participants With drawing governments More market regulation
13 EASPD Av. dAuderghem 63 / Oudergemlaan B – 1000 Brussels Tel – Fax
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Presented by. © 2012 ISACA. All rights reserved. No part of this publication may be used, copied, reproduced, modified, distributed, displayed, stored.
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