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Nonprofit organizations. --- Accounting. --- financial sustainability
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Ghana National Health Insurance Scheme (NHIS) was established in 2003 as a major vehicle to achieve the country's commitment of Universal Health Coverage. The government has earmarked value-added tax to finance NHIS in addition to deduction from Social Security Trust (SSNIT) and premium payment. However, the scheme has been running under deficit since 2009 due to expansion of coverage, increase in service use, and surge in expenditure. Consequently, Ghana National Health Insurance Authority (NHIA) had to reduce investment fund, borrow loans and delay claims reimbursement to providers in order to fill the gap. This study aimed to provide policy recommendations on how to improve efficiency and financial sustainability of NHIS based on health sector expenditure and NHIS claims expenditure review. The analysis started with an overall health sector expenditure review, zoomed into NHIS claims expenditure in Volta region as a miniature for the scheme, and followed by identifictation of factors affecting level and efficiency of expenditure. This study is the first attempt to undertake systematic in-depth analysis of NHIS claims expenditure. Based on the study findings, it is recommended that NHIS establish a stronger expenditure control system in place for long-term sustainability. The majority of NHIS claims expenditure is for outpatient consultations, district hospitals and above, certain member groups (e.g., informal group, members with more than five visits in a year). These distribution patterns are closely related to NHIS design features that encourages expenditure surge. For example, year-round open registration boosted adverse selection during enrollment, essentially fee-for-service provider mechanisms incentivized oversupply but not better quality and cost-effectiveness, and zero patient cost-sharing by patients reduced prudence in seeking care and caused overuse. Moreover, NHIA is not equipped to control expenditure or monitor effect of cost-containment policies. The claims processing system is mostly manual and does not collect information on service delivery and results. No mechanisms exist to monitor and correct providers' abonormal behaviors, as well as engage NHIS members for and engaging members for information verification, case management and prevention.
Efficiency --- Expenditure Control --- Financial Sustainability --- Ghana --- Health Insurance --- National Health Insurance Scheme (Ghana) --- Ghana.
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April 1999 - Among three options for constructing funded social security pillars, one system - individual accounts invested in the institutional market, with constrained choice among investment companies - appears to offer reduced administrative and marketing costs, significant worker choice, and more insulation from political interference than a single centralized fund or individual investments in the retail market would offer. One of the main criticisms of the defined-contribution, individual-account components of social security systems is that they are too expensive. James, Ferrier, Smalhout, and Vittas investigate the cost-effectiveness of three options for constructing funded social security pillars: Individual accounts invested in the retail market with relatively open choice; Individual accounts invested in the institutional market with constrained choice among investment companies; A centralized fund without individual accounts or differentiated investments across individuals. The authors asked several questions: What is the most cost-effective way to organize a system with mandatory individual accounts? How does the cost of an efficient individual account system compare with that of a single centralized fund? And are the cost differentials great enough to outweigh other important considerations? The authors concentrate on countries with well-functioning financial markets, such as the United States, but make comparative references to developing countries. Based on empirical evidence about U.S. mutual and institutional funds, the authors found that the retail market (option 1) allows individual investors to benefit from scale economies in asset management-but at the cost of the high marketing expenses needed to attract large pools of small investments. By contrast, a centralized fund (option 3) can be much cheaper because it achieves scale economies without high marketing costs. But it gives workers no choice and is subject to political manipulation and misallocation of capital. The system of constrained choice (option 2) is much cheaper than the retail option and only slightly more expensive than a single centralized fund. It allows scale economies in asset management and record-keeping while incurring low marketing costs and allowing significant worker choice. It is also more effectively insulated from political interference than a single centralized fund. The authors estimate that option 2 would cost only 0.14 percent-0.18 percent of assets annually. Such large administrative cost savings imply a Pareto improvement-so long as choice is not constrained too much. This paper-a product of Poverty and Human Resources and Finance, Development Research Group-was prepared for a National Bureau of Economic Research Conference on Social Security held on December 4, 1998. The authors may be contacted at ejames3@worldbank.org or dvittas@worldbank.org.
Administrative Costs --- Bank --- Contribution --- Debt Markets --- Economic Theory and Research --- Emerging Markets --- Finance and Financial Sector Development --- Financial Industry --- Financial Literacy --- Financial Markets --- Financial Sustainability --- Individual Accounts --- Investment --- Investment and Investment Climate --- Investment Companies --- Investments --- Macroeconomics and Economic Growth --- Money --- Money Market --- Mutual Fund --- Mutual Funds --- Populations --- Private Sector Development --- Research Assistance --- Retirement --- Retirement Benefits --- Saving --- Social Security
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May 2000 - An alternative to traditional subsidies for water and sanitation services is direct subsidies - funds governments provide to cover part of the water bill for households that meet certain criteria. Issues associated with such a subsidy are analyzed through a case study of Panama. As an alternative to traditional subsidy schemes in utility sectors, direct subsidy programs have several advantages: they are transparent, they are explicit, and they minimize distortions of the behavior of both the utility and the customers. At the same time, defining practical eligibility criteria for direct subsidy schemes is difficult and identifying eligible households may entail substantial administrative costs. Foster, Gomez-Lobo, and Halpern, using a case study from Panama, discuss some of the issues associated with the design of direct subsidy systems for water services. They conclude that: There is a need to assess - rather than assume - the need for a subsidy. A key test of affordability, and thus of the need for a subsidy, is to compare the cost of the service with some measure of household willingness to pay; The initial assessment must consider the affordability of connection costs as well as the affordability of the service itself. Connection costs may be prohibitive for poor households with no credit, suggesting a need to focus subsidies on providing access rather than ongoing water consumption; A key issue in designing a direct subsidy scheme is its targeting properties. Poverty is a complex phenomenon and difficult to measure. Eligibility must therefore be based on easily measurable proxy variables, and good proxies are hard to find. In choosing eligibility criteria for a subsidy, it is essential to verify what proportion of the target group fails to meet the criteria (errors of exclusion) and what proportion of nontarget groups is inadvertently eligible for the benefits (errors of inclusion); Administrative costs are roughly the same no matter what the level of individual subsidies, so a scheme that pays beneficiaries very little will tend not to be cost-effective. It is important to determine what proportion of total program costs will be absorbed by administrative expenses; Subsidies should not cover the full cost of the service and should be contingent on beneficiaries paying their share of the bill. Subsidies for consumption above a minimum subsistence level should be avoided. Subsidies should be provided long enough before eligibility is reassessed to avoid poverty trap problems; The utility or concessionaire can be helpful in identifying eligible candidates because of its superior information on the payment histories of customers. It will also have an incentive to do so, since it has an interest in improving poor payment records. Thought should therefore be given at the design stage to the role of the service provider in the implementation of the subsidy scheme; The administrative agency's responsibilities, the sources of funding, and the general principles guiding the subsidy system should have a clear legal basis, backed by regulations governing administrative procedures; To reduce administrative costs and avoid duplication of effort, it would be desirable for a single set of institutional arrangements to be used to determine eligibility for all welfare and subsidy programs in a given jurisdiction, whether subnational or national. This paper - a product of the Finance, Private Sector, and Infrastructure Sector Unit, Latin America and the Caribbean Region - is part of a larger effort in the region to evaluate and disseminate lessons of experience in designing policies to improve the quality and sustainability of infrastructure services and to enhance access of the poor to these basic services. The authors may be contacted at vfoster@worldbank.org or jhalpern@worldbank.org.
Access To Cred Administrative Cost --- Administrative Costs --- Beneficiaries --- Beneficiary --- Check --- Customers --- Economic Theory and Research --- Emerging Markets --- Finance and Financial Sector Development --- Financial Literacy --- Financial Sustainability --- Gender --- Gender and Law --- Housing Subsidy --- Interest --- Investments --- Law and Development --- Macroeconomics and Economic Growth --- Population --- Poverty Reduction --- Private Sector Development --- Rural Development --- Rural Poverty Reduction --- Subsidies --- Subsidization --- Subsidy --- Subsidy Payments --- Tax Law --- Taxation and Subsidies --- Total Costs --- Town Water Supply and Sanitation --- Transport --- Transport Economics, Policy and Planning --- Urban Water Supply and Sanitation --- Water Subsidies --- Water Subsidy --- Water Supply and Sanitation --- Worth
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The book "Economic Sustainability of Culture and Cultural Tourism" focuses on the economic sustainability of cultural and cultural tourism projects, but it also takes into account other aspects. It consists of eleven articles, which address cultural heritage, culture, cultural/creative industries and (cultural) tourism. Analysis in the cultural heritage-related articles deals with specific topics such as crowdfunding, cost–benefit analysis in the evaluation of cultural heritage project funding, industrial heritage/brownfields, and social assessment methods for the economic analysis of cultural heritage. Cultural work is further analyzed, offering a comparative economic sustainability analysis in the UK as well as support mechanisms for cultural/creative industries in Canada. Creative industries in the peripheral areas of Italy and Greece are also zeroed in on in the context of their sustainability. Articles focusing on (cultural) tourism address the topics of dark tourism, tourists’ willingness to pay for cultural experiences, and the relationship between COVID-19 vaccinations and the volatility of travel and leisure companies. Additionally, the role of culture and heritage in tourism resilience during the COVID-19 pandemic is explored with interesting results.
cultural heritage --- financial sustainability --- crowdfunding --- Europe --- Hawaiian culture --- visitor perceptions --- economic sustainability --- willingness to pay (WTP) --- COVID-19 pandemic --- cultural and creative industries --- sustainability --- peripheral areas --- cultural heritage projects --- EU funds --- economic analysis --- cost–benefit analysis --- cultural investment --- stimulate tourism --- pandemic recovery --- Canada --- public policy --- grants and financial instruments --- arts management --- cultural policy --- COVID-19 --- pandemic --- stock market volatility --- travel and leisure --- vaccinations --- brownfield redevelopment --- cultural use --- public funds --- Hungary --- post-socialist transformation --- circular urban development --- cultural and creative industries policy --- cultural workers’ precarity --- COVID-19 pandemic recovery plan --- visual arts --- UK --- Ireland --- France --- Universal Basic Income (UBI) --- impact of COVID-19 --- travel --- wellbeing --- NATURA --- UNESCO --- sustainable development --- tourism --- dark tourism --- cultural heritage management --- tourism industry development --- sustainable tourism development --- heritage evaluation --- sociological analytical methods --- sociologic impact assessment --- social performance evaluation
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The book "Economic Sustainability of Culture and Cultural Tourism" focuses on the economic sustainability of cultural and cultural tourism projects, but it also takes into account other aspects. It consists of eleven articles, which address cultural heritage, culture, cultural/creative industries and (cultural) tourism. Analysis in the cultural heritage-related articles deals with specific topics such as crowdfunding, cost–benefit analysis in the evaluation of cultural heritage project funding, industrial heritage/brownfields, and social assessment methods for the economic analysis of cultural heritage. Cultural work is further analyzed, offering a comparative economic sustainability analysis in the UK as well as support mechanisms for cultural/creative industries in Canada. Creative industries in the peripheral areas of Italy and Greece are also zeroed in on in the context of their sustainability. Articles focusing on (cultural) tourism address the topics of dark tourism, tourists’ willingness to pay for cultural experiences, and the relationship between COVID-19 vaccinations and the volatility of travel and leisure companies. Additionally, the role of culture and heritage in tourism resilience during the COVID-19 pandemic is explored with interesting results.
Development economics & emerging economies --- cultural heritage --- financial sustainability --- crowdfunding --- Europe --- Hawaiian culture --- visitor perceptions --- economic sustainability --- willingness to pay (WTP) --- COVID-19 pandemic --- cultural and creative industries --- sustainability --- peripheral areas --- cultural heritage projects --- EU funds --- economic analysis --- cost–benefit analysis --- cultural investment --- stimulate tourism --- pandemic recovery --- Canada --- public policy --- grants and financial instruments --- arts management --- cultural policy --- COVID-19 --- pandemic --- stock market volatility --- travel and leisure --- vaccinations --- brownfield redevelopment --- cultural use --- public funds --- Hungary --- post-socialist transformation --- circular urban development --- cultural and creative industries policy --- cultural workers’ precarity --- COVID-19 pandemic recovery plan --- visual arts --- UK --- Ireland --- France --- Universal Basic Income (UBI) --- impact of COVID-19 --- travel --- wellbeing --- NATURA --- UNESCO --- sustainable development --- tourism --- dark tourism --- cultural heritage management --- tourism industry development --- sustainable tourism development --- heritage evaluation --- sociological analytical methods --- sociologic impact assessment --- social performance evaluation
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The management of cultural heritage and public real-estate assets is one of the most crucial challenges concerning the sustainable use of these resources, involving dynamic methods to stimulate preservation, development, renewal, and transmission to future generations of these essential assets. The contributions presented in this book provide a rich and varied panorama of research experiences and innovative tools, capable of promoting the re-use of cultural heritage in European cities and cultural landscapes, using a circular economy logic as a model of sustainable development. From this point of view, cultural capital becomes the driver of a regeneration process on the local, urban, and metropolitan scales, in which the transversal interconnections between the production cycles of the adaptive re-use of the available heritage, both in the adaptation and in the management phase, configure a circular process of multidimensional production of value. Therefore, future territorial redevelopment projects can base their idea strength on an open system of appropriately selected social attractors, whose enhancement and use have the objective of triggering widespread regeneration effects on the whole territory of influence, receiving inducement and resources to progress.
Humanities --- Social interaction --- urban heritage --- historic centre --- regulation --- sustainability --- city plan --- ambidextrous management --- creative tourism --- tourismphobia and anti-tourism movements --- social capital --- heritage --- territorial health center --- urban regeneration --- Multi-Criteria Analysis --- built cultural heritage --- values --- economic evaluation of projects --- Multi Criteria Decision Making (MCDM) --- historical building --- economic enhancement --- integrated evaluation --- multicriteria analysis --- cultural heritage and circular economy --- financial sustainability --- Ritiro del Carmine --- built heritage sustainable reuse --- economic feasibility --- economic sustainability --- project feasibility investment profitability --- unused public buildings --- cultural heritage --- cultural tourism --- regional development --- rural areas --- bibliometric analysis --- bibliographic analysis --- risk assessment --- public investment --- time overrun --- public works --- urban governance --- new public institutional forms --- multi-sectoral collaboration --- social innovation --- MONUM --- adaptive reuse --- building rehabilitation --- impact assessment --- cultural landscape --- local governance --- immovable properties --- bathing houses --- Mar Menor --- San Javier --- artworks --- macro-elements --- vulnerability --- seismic damage --- deterioration --- web archive --- tourist flow management --- ETIS --- carrying capacity --- social impact --- social network analysis --- public real estate property --- operational protocol --- model of choice --- radar diagram --- urban art --- Neighborhood Regeneration --- Social Empowerment --- Right to the City --- Ferrol (Spain) --- Sustainable Development Goals --- SDG 11 --- heritage database --- heritage value --- heritage classification --- vocationality --- Analytic Hierarchy Process (AHP) --- Vesuvian Villas --- valuation --- A’WOT analysis --- multicriteria decision aid --- valorization --- management strategy --- urban sustainable development --- historical school buildings --- multi-criteria evaluation --- cultural firms --- accounting parameters --- survival analysis --- Kaplan–Meier curves --- strategic planning --- historic urban landscape --- model --- management instruments --- Novi Pazar --- Serbia --- cultural heritage conservation --- multi-criteria decision aid --- strategic assessment --- landscape management --- agriculture --- evaluation --- multi criteria decision aide (MCDA) --- rough sets --- multifunctionality --- artistic assets --- AHP --- seismic hazard --- n/a --- archaeological basins --- Web-GIS and Geodatabases --- territorial marketing --- cultural economics --- land economy --- tourism experience management --- cultural estate --- landscape heritage --- A'WOT analysis --- Kaplan-Meier curves
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The management of cultural heritage and public real-estate assets is one of the most crucial challenges concerning the sustainable use of these resources, involving dynamic methods to stimulate preservation, development, renewal, and transmission to future generations of these essential assets. The contributions presented in this book provide a rich and varied panorama of research experiences and innovative tools, capable of promoting the re-use of cultural heritage in European cities and cultural landscapes, using a circular economy logic as a model of sustainable development. From this point of view, cultural capital becomes the driver of a regeneration process on the local, urban, and metropolitan scales, in which the transversal interconnections between the production cycles of the adaptive re-use of the available heritage, both in the adaptation and in the management phase, configure a circular process of multidimensional production of value. Therefore, future territorial redevelopment projects can base their idea strength on an open system of appropriately selected social attractors, whose enhancement and use have the objective of triggering widespread regeneration effects on the whole territory of influence, receiving inducement and resources to progress.
urban heritage --- historic centre --- regulation --- sustainability --- city plan --- ambidextrous management --- creative tourism --- tourismphobia and anti-tourism movements --- social capital --- heritage --- territorial health center --- urban regeneration --- Multi-Criteria Analysis --- built cultural heritage --- values --- economic evaluation of projects --- Multi Criteria Decision Making (MCDM) --- historical building --- economic enhancement --- integrated evaluation --- multicriteria analysis --- cultural heritage and circular economy --- financial sustainability --- Ritiro del Carmine --- built heritage sustainable reuse --- economic feasibility --- economic sustainability --- project feasibility investment profitability --- unused public buildings --- cultural heritage --- cultural tourism --- regional development --- rural areas --- bibliometric analysis --- bibliographic analysis --- risk assessment --- public investment --- time overrun --- public works --- urban governance --- new public institutional forms --- multi-sectoral collaboration --- social innovation --- MONUM --- adaptive reuse --- building rehabilitation --- impact assessment --- cultural landscape --- local governance --- immovable properties --- bathing houses --- Mar Menor --- San Javier --- artworks --- macro-elements --- vulnerability --- seismic damage --- deterioration --- web archive --- tourist flow management --- ETIS --- carrying capacity --- social impact --- social network analysis --- public real estate property --- operational protocol --- model of choice --- radar diagram --- urban art --- Neighborhood Regeneration --- Social Empowerment --- Right to the City --- Ferrol (Spain) --- Sustainable Development Goals --- SDG 11 --- heritage database --- heritage value --- heritage classification --- vocationality --- Analytic Hierarchy Process (AHP) --- Vesuvian Villas --- valuation --- A’WOT analysis --- multicriteria decision aid --- valorization --- management strategy --- urban sustainable development --- historical school buildings --- multi-criteria evaluation --- cultural firms --- accounting parameters --- survival analysis --- Kaplan–Meier curves --- strategic planning --- historic urban landscape --- model --- management instruments --- Novi Pazar --- Serbia --- cultural heritage conservation --- multi-criteria decision aid --- strategic assessment --- landscape management --- agriculture --- evaluation --- multi criteria decision aide (MCDA) --- rough sets --- multifunctionality --- artistic assets --- AHP --- seismic hazard --- n/a --- archaeological basins --- Web-GIS and Geodatabases --- territorial marketing --- cultural economics --- land economy --- tourism experience management --- cultural estate --- landscape heritage --- A'WOT analysis --- Kaplan-Meier curves
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The management of cultural heritage and public real-estate assets is one of the most crucial challenges concerning the sustainable use of these resources, involving dynamic methods to stimulate preservation, development, renewal, and transmission to future generations of these essential assets. The contributions presented in this book provide a rich and varied panorama of research experiences and innovative tools, capable of promoting the re-use of cultural heritage in European cities and cultural landscapes, using a circular economy logic as a model of sustainable development. From this point of view, cultural capital becomes the driver of a regeneration process on the local, urban, and metropolitan scales, in which the transversal interconnections between the production cycles of the adaptive re-use of the available heritage, both in the adaptation and in the management phase, configure a circular process of multidimensional production of value. Therefore, future territorial redevelopment projects can base their idea strength on an open system of appropriately selected social attractors, whose enhancement and use have the objective of triggering widespread regeneration effects on the whole territory of influence, receiving inducement and resources to progress.
Humanities --- Social interaction --- urban heritage --- historic centre --- regulation --- sustainability --- city plan --- ambidextrous management --- creative tourism --- tourismphobia and anti-tourism movements --- social capital --- heritage --- territorial health center --- urban regeneration --- Multi-Criteria Analysis --- built cultural heritage --- values --- economic evaluation of projects --- Multi Criteria Decision Making (MCDM) --- historical building --- economic enhancement --- integrated evaluation --- multicriteria analysis --- cultural heritage and circular economy --- financial sustainability --- Ritiro del Carmine --- built heritage sustainable reuse --- economic feasibility --- economic sustainability --- project feasibility investment profitability --- unused public buildings --- cultural heritage --- cultural tourism --- regional development --- rural areas --- bibliometric analysis --- bibliographic analysis --- risk assessment --- public investment --- time overrun --- public works --- urban governance --- new public institutional forms --- multi-sectoral collaboration --- social innovation --- MONUM --- adaptive reuse --- building rehabilitation --- impact assessment --- cultural landscape --- local governance --- immovable properties --- bathing houses --- Mar Menor --- San Javier --- artworks --- macro-elements --- vulnerability --- seismic damage --- deterioration --- web archive --- tourist flow management --- ETIS --- carrying capacity --- social impact --- social network analysis --- public real estate property --- operational protocol --- model of choice --- radar diagram --- urban art --- Neighborhood Regeneration --- Social Empowerment --- Right to the City --- Ferrol (Spain) --- Sustainable Development Goals --- SDG 11 --- heritage database --- heritage value --- heritage classification --- vocationality --- Analytic Hierarchy Process (AHP) --- Vesuvian Villas --- valuation --- A'WOT analysis --- multicriteria decision aid --- valorization --- management strategy --- urban sustainable development --- historical school buildings --- multi-criteria evaluation --- cultural firms --- accounting parameters --- survival analysis --- Kaplan-Meier curves --- strategic planning --- historic urban landscape --- model --- management instruments --- Novi Pazar --- Serbia --- cultural heritage conservation --- multi-criteria decision aid --- strategic assessment --- landscape management --- agriculture --- evaluation --- multi criteria decision aide (MCDA) --- rough sets --- multifunctionality --- artistic assets --- AHP --- seismic hazard --- archaeological basins --- Web-GIS and Geodatabases --- territorial marketing --- cultural economics --- land economy --- tourism experience management --- cultural estate --- landscape heritage
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