Enhancing Efficiency and Equity : Challenges and Reform Opportunities Facing Health and Pension Systems in the Western Balkans

This collection of papers explores the major challenges to the sustainability of health and pension system financing in the countries of the Western Balkans - Albania, Bosnia and Herzegovina, the Former Yugoslav Republic of Macedonia, Montenegro, S...

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Main Authors:	Bredenkamp, Caryn, Gragnolati, Michele, Ramljak, Vedad
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	HEALTH FINANCING PENSION
Online Access:	http://documents.worldbank.org/curated/en/2008/09/10070853/enhancing-efficiency-equity-challenges-reform-opportunities-facing-health-pension-systems-western-balkans http://hdl.handle.net/10986/13725

id	okr-10986-13725
recordtype	oai_dc
spelling	okr-10986-137252021-04-23T14:03:09Z Enhancing Efficiency and Equity : Challenges and Reform Opportunities Facing Health and Pension Systems in the Western Balkans Bredenkamp, Caryn Gragnolati, Michele Ramljak, Vedad Bredenkamp, Caryn Gragnolati, Michele Ramljak, Vedad HEALTH FINANCING PENSION This collection of papers explores the major challenges to the sustainability of health and pension system financing in the countries of the Western Balkans - Albania, Bosnia and Herzegovina, the Former Yugoslav Republic of Macedonia, Montenegro, Serbia, and the province of Kosovo. It focuses on how the incentives created by the different elements of the financing arrangements affect the behavior of providers and individuals, and the resulting inefficiencies in revenue collection and expenditure containment. The volume commences with an analysis of healthcare financing, exploring patterns of healthcare expenditure, and examining the key drivers of current healthcare expenditure and the most significant barriers to revenue generation. Subsequent chapters give special attention to provider payment mechanisms and the pharmaceutical sector. Equity considerations are highlighted in a chapter that explores the protection that is offered against the financial impact of health expenditures. With respect to the pension sector, the volume provides an overview of national pension systems and outlines the main challenges to achieving a sustainable balance between pension benefits and costs. The analyses of the health and pension reform process are placed within the context of the labor market challenges in the sub-region, especially as they relate to the ability to raise revenue for health and pensions through payroll contributions. All chapters conclude by identifying some reforms that countries in the sub-region could consider in order to enhance the efficiency and sustainability of their systems. Data are drawn from international databases, country institutions, and household surveys. 2013-05-30T20:35:52Z 2013-05-30T20:35:52Z 2008-09 http://documents.worldbank.org/curated/en/2008/09/10070853/enhancing-efficiency-equity-challenges-reform-opportunities-facing-health-pension-systems-western-balkans http://hdl.handle.net/10986/13725 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Europe and Central Asia Eastern Europe
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	HEALTH FINANCING PENSION
spellingShingle	HEALTH FINANCING PENSION Bredenkamp, Caryn Gragnolati, Michele Ramljak, Vedad Enhancing Efficiency and Equity : Challenges and Reform Opportunities Facing Health and Pension Systems in the Western Balkans
geographic_facet	Europe and Central Asia Eastern Europe
relation	HNP discussion paper series;
description	This collection of papers explores the major challenges to the sustainability of health and pension system financing in the countries of the Western Balkans - Albania, Bosnia and Herzegovina, the Former Yugoslav Republic of Macedonia, Montenegro, Serbia, and the province of Kosovo. It focuses on how the incentives created by the different elements of the financing arrangements affect the behavior of providers and individuals, and the resulting inefficiencies in revenue collection and expenditure containment. The volume commences with an analysis of healthcare financing, exploring patterns of healthcare expenditure, and examining the key drivers of current healthcare expenditure and the most significant barriers to revenue generation. Subsequent chapters give special attention to provider payment mechanisms and the pharmaceutical sector. Equity considerations are highlighted in a chapter that explores the protection that is offered against the financial impact of health expenditures. With respect to the pension sector, the volume provides an overview of national pension systems and outlines the main challenges to achieving a sustainable balance between pension benefits and costs. The analyses of the health and pension reform process are placed within the context of the labor market challenges in the sub-region, especially as they relate to the ability to raise revenue for health and pensions through payroll contributions. All chapters conclude by identifying some reforms that countries in the sub-region could consider in order to enhance the efficiency and sustainability of their systems. Data are drawn from international databases, country institutions, and household surveys.
author2	Bredenkamp, Caryn
author_facet	Bredenkamp, Caryn Bredenkamp, Caryn Gragnolati, Michele Ramljak, Vedad
format	Publications & Research :: Working Paper
author	Bredenkamp, Caryn Gragnolati, Michele Ramljak, Vedad
author_sort	Bredenkamp, Caryn
title	Enhancing Efficiency and Equity : Challenges and Reform Opportunities Facing Health and Pension Systems in the Western Balkans
title_short	Enhancing Efficiency and Equity : Challenges and Reform Opportunities Facing Health and Pension Systems in the Western Balkans
title_full	Enhancing Efficiency and Equity : Challenges and Reform Opportunities Facing Health and Pension Systems in the Western Balkans
title_fullStr	Enhancing Efficiency and Equity : Challenges and Reform Opportunities Facing Health and Pension Systems in the Western Balkans
title_full_unstemmed	Enhancing Efficiency and Equity : Challenges and Reform Opportunities Facing Health and Pension Systems in the Western Balkans
title_sort	enhancing efficiency and equity : challenges and reform opportunities facing health and pension systems in the western balkans
publisher	World Bank, Washington, DC
publishDate	2013
url	http://documents.worldbank.org/curated/en/2008/09/10070853/enhancing-efficiency-equity-challenges-reform-opportunities-facing-health-pension-systems-western-balkans http://hdl.handle.net/10986/13725
_version_	1764424050601361408

Enhancing Efficiency and Equity : Challenges and Reform Opportunities Facing Health and Pension Systems in the Western Balkans

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