CAIRN-INT.INFO : International Edition

In the 2000s, several reforms took place regarding the state regulation of medico-social care in nursing homes. In particular standardised pricing tools were introduced. This article questions the impact of neoliberal reforms on their implementers (in this case the tariffers) and more particularly on the relationship between the latter and the governed (in this case the nursing homes). It shows that standardised pricing tools have significantly changed the job of pricing nursing homes. As a result, the relationship between ARS agents and nursing home managers has changed. Pricing agents now perceive and treat nursing homes and their managers differently. They categorise them in two opposed groups: those with a surplus and those with a deficit. The “social magistracy” type of regulation model is giving way to a remote regulation model based on accounting logic. Nevertheless, not all nursing homes are subject to the same rules and the enquiry reveals exceptions for the benefit of influential institutions.


  • Pricing practices
  • medico-social care
  • public regulation model
  • nursing home
  • Regional Health Agency
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