This chapter provides an overview and evaluation of the modes of delivery of selected public services in the region, focusing on primary and tertiary education, healthcare, and local communal services. The core research questions guiding the chapter are: “How is service delivery organized?” “How is service delivery financed?” and “Is there any dominant ideology (like New Public Management, NPM) behind the current mode of service delivery and financing?” Primary education is most often a shared responsibility between the state and municipal levels, except in Hungary, where the central government is the only actor. Approaches to private primary education vary significantly between countries; in some, private schools may be part of the public educational system and receive public funding, while in others, they may not. Some countries use performance-based rules as the mechanism for allocating resources to primary schools. Higher education systems also differ significantly, with varying proportions of private institutions, some of which are eligible for public funding. Public financing for higher education is often allocated based on performance-based formulas, and in most countries, students at public institutions do not pay fees. Healthcare systems differ organizationally, but all countries strive to maintain universal access. NPM ideology is most visible in the Czech Republic and Slovakia, where competitive social health insurance systems are in place. All CEE countries spend significantly less on healthcare compared to older EU member states. Local communal services are delivered through both in-house and external production modes, but contracting out has not resulted in significant savings, often due to corruption and limited contract management capacity at the local level. Across all services, the influence of NPM is evident, likely a result of the need to transition from socialist systems and an over-idealization of the private sector and free market.