Literature on the impact of fee removal policies on service utilization and out-of-pocket expenditures is growing [ 35- 39].
There is an acknowledged gap in the literature on the impact of fee exemption policies on health staff, and, conversely, the implications of staffing for fee exemption.
The rationale for this is 2-fold: first, there is an acknowledged gap in the literature on the impact of fee exemption policies on health staff, and, conversely, the implications of staffing for fee exemption (McPake et al. 2013), which this study can contribute to filling.
The impact on fees will probably occur "at the paralegal level, because that work is routine, voluminous and technology-sensitive," said Brad Hildebrandt, a law firm consultant based in Somerset, N.J.
And the accompanying need to rein in costs will also have a negative impact on fee-based revenues.
The impact of fee removal on utilization levels is mostly not sustained or supported by all the evidence.
In Zambia, fee removal was not specifically targeted at Maternal and Newborn Child Health (MNCH) services and there is conflicting evidence of the impact of fee removal on utilization.
There is nothing to lose from even more disclosure on the impact of fees and charges on investors.
Gauging the impact of fees on the social makeup of universities is difficult, because for most bright teenagers there's no sensible alternative.
We may be able to hazard an educated guess at the impact of fees on participation, but unless the government decides to conduct a randomized control trial or experiment of some sort, we will never be truly certain of the impact of tuition fees on higher education participation.
The comptroller also issued an analysis that spelled out the impact of fees on the investment returns of the five pension funds at issue: those of New York's police and fire departments, city employees, teachers, and the Board of Education.
