2026
Are Long-Term Care Needs Assessments Fiscal Policy Tools?
Heber Dávila, David Knapp, Yeeun LeeKey Messages
- Care needs assessment (CNA) criteria determine long-term care (LTC) access
- National LTC eligibility is shaped by CNA design, not only by level of functional limitation
- Identical care profiles yield divergent eligibility outcomes across European LTC systems
- CNAs function as fiscal policy tools, with eligibility thresholds regulating publicly financed care
- CNA design has fiscal and care access consequences and should be treated as a key component of LTC policy