This report concerns improving intergovernmental fiscal relations and public health and education expenditure policy in Ukraine. The large amount of resources the budget spends on services such as health and education, through its local government do not obtain good value. This is due to the...

Medicaid's federal-state matching system of financing is the nation's largest example of fiscal federalism. Using generous federal subsidies, the Affordable Care Act incentivized states to expand Medicaid, which became a state option in the aftermath of a 2012 Supreme Court ruling. As of early...

This report is a further response to the call from Uganda's leaders for 'value for money' in public spending. The report is the second in a series of three sector-oriented public expenditure reviews (PER) for the Government of Uganda (GOU) prepared by the World Bank as input into the Government...

This report, Second Programmatic Public Expenditure Review (PPER 2), is a sequel to PPER, which was published in July 2007. PPER 2 provides a detailed analysis of key public expenditure issues in Tajikistan and reports on the nonlending policy dialogue and technical assistance programs managed...

This report examines three critically important areas to inform discussions on the appropriate level of health care spending in the Russian Federation: (i) the efficiency of spending on health care services; (ii) distributional impacts of spending on health care services; and (iii) the key...

This report on governance in Brazil's unified health system assesses resource allocation and management, planning and budgeting functions, and budget execution at different levels of government for public expenditures on health services. The emphasis is on understanding the incentives generated...

This report on governance in Brazil's unified health system assesses resource allocation and management, planning and budgeting functions, and budget execution at different levels of government for public expenditures on health services. The emphasis is on understanding the incentives generated...

The public expenditures review (PER) of the health sector was prepared in response to a request from the government of Egypt as part of a broader PER work that covers other sectors. This policy note is intended to inform government policymakers of the key findings from the PER and recommend...

This paper provides empirical evidence of Medicaid crowd out of demand for private long-term care insurance. Using data on the near- and young-elderly in the Health and Retirement Survey, our central estimate suggests that a $10,000 decrease in the level of assets an individual can keep while...

The Sudan referendum on post-Comprehensive Peace Agreement (CPA) arrangements was held during January 9-15, 2011 with results in favor of secession of the South by July 9, 2011. The economic effects will transmit largely through the fiscal and external accounts and the outcome of secession...