Impact of health plan reforms in Washington on employment decisions

2019 ◽  
Vol 18 (04) ◽  
pp. 579-593
Author(s):  
Norma B. Coe
Keyword(s):  
Labor Market ◽  
Health Insurance ◽  
The State ◽  
Fee For Service ◽  
Payment Reform ◽  
Employment Decisions ◽  
Bundled Payment ◽  
State Employment ◽  
State Employees ◽  
State Employee

AbstractThe State of Washington, as part of a State Innovation Model (SIM) grant, is changing the payment model within state employee health insurance plans. The system is moving away from traditional fee-for-service reimbursement to value-based payment, through insurance design (the creation of accountable care network insurance products) and bundled payment strategies. New plans were rolled out January 2016 (enrollment occurred in late 2015), with the stated goal of getting 80% of state employees covered by plans that contain value-based purchasing within the next 5 years. The goal of payment reform is to improve member experience, member health, and cut costs. However, changing health insurance during employment can directly and indirectly change labor market outcomes. Decreasing costs of insurance could lead people to remain in the state-employment sector longer. However, it could also influence retirement timing, through changing the relative costs of insurance and through improving health.This paper examines who switches to value-based insurance, where the insurance explicitly decreases premiums without changing out-of-pocket costs. We find that the peak age for switching insurance plans is 35–45, even among the subsample of individuals who would not need to change their usual sources of care. Second, we look at the labor market activity – both leaving the state-employee sector and retiring from state-employment – and find that younger workers with value-based insurance plans are less likely to leave state employment. Further, we find evidence of value-based insurance, available at a reduced cost to both employees and retirees, leads to a shifting downward in the distribution of retirement age. While these findings support the existence of both the price and income effects, the effect sizes are rather small.

Economic Incentives to Reduce Employee Smoking: A Health Insurance Surcharge for Tobacco Using State of Kansas Employees

1989 ◽  
Vol 4 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Maurice Penner
Keyword(s):  
Health Insurance ◽  
Cigarette Smoking ◽  
Health Plan ◽  
Economic Incentives ◽  
The State ◽  
Morbidity And Mortality ◽  
Group Health ◽  
Employee Group ◽  
State Employee

Cigarette smoking has been clearly established as the single most important, preventable cause of morbidity and mortality. Employers are actively working to reduce smoking among current employees, and a growing number will not hire smokers. While most efforts have focused on either 1) helping smokers overcome their habit, or 2) banning or severely limiting worksite smoking, very little has been done to provide strong economic incentives for current employees to give up smoking. This paper reports on the planning and implementation of a $10 per month surcharge added to employee contributions for health insurance for persons employed by the State of Kansas. Family coverage is not affected. Also discussed is a similiar effort in the Colorado state employee group health plan.

scholarly journals Regional unemployment and state employment regulation

2021 ◽  
pp. 28-32
Author(s):  
S. S. Tleuberdiyeva ◽  
R. S. Mussina ◽  
A. B. Moldasheva ◽  
G. S. Kodasheva
Keyword(s):  
Labor Market ◽  
Workplace Safety ◽  
Temporary Employment ◽  
The State ◽  
Employment Policy ◽  
Regional Labor Market ◽  
Regional Labor ◽  
State Employment ◽  
Working Day ◽  
New Jobs

The purpose of the article is to study a unique and planned sphere of life of social and economic society in the regional labor market. As it also covers the market of workforce directly connected to production, the concepts unemployment and workplace safety are important. The loss of work means low quality of life and the instability of the economy for many people. Employment determines the content of important aspects of social development to meet the needs of people in the labor market. The article emphasizes that the main policy of the state in regulating the labor market is the implementation of an employment policy for the entire population that preserves the natural level of employment, does not allow the emergence of cyclical employment, the formation of a “flexible market” that quickly adapts to internal and external changes, allowing to maintain stability and management. This compared to the traditional market creates conditions for flexible employee management in conditions of incomplete working day, temporary employment, replacement. On this flexible market, every citizen, looking for work, is obliged to find a workplace that meets its requests. In the labor market, public policy goes in two directions. Active training and retraining in order to create new jobs, ensuring employment and deliverance from unemployment. This can include events implemented in the framework of programs in our country. Passive is support for unoccupied citizens by providing social benefits. The main methods applied by the state in providing regional employment include stimulating investment in the economy, depending on the specifics of each region, which is the main condition for creating new jobs.

How payment reform drives innovation in interventional oncology.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 276-276
Author(s):  
Joseph Rodgers Steele ◽  
Ryan Kristopher Clarke ◽  
Elizabeth Priya Ninan ◽  
Armeen Mahvash
Keyword(s):  
Cost Savings ◽  
Standard Of Care ◽  
Prospective Payment System ◽  
Balloon Occlusion ◽  
Payment System ◽  
Fee For Service ◽  
Payment Reform ◽  
Similar Clinical Outcome ◽  
Bundled Payment ◽  
Group Purchasing Organization

276 Background: Innovation has transformed healthcare; however, our current fee-for-service payment system can actually stifle creativity. When procedures are streamlined, fewer CPT codes may be charged, resulting in lower total reimbursement. Payment reform is necessary not only to control costs, but also to support constructive innovation. We describe how an innovative, lower reimbursed, technique of catheter-directed cancer therapy failed widespread acceptance in spite of being faster, safer and cheaper than the standard of care. Methods: Retrospective patient review was performed using the radiology information system and electronic health record. Medicare Part A and Part B payments were obtained from the Hospital Outpatient Prospective Payment System (HOPPS) for Harris County, Texas, and disposable supply costs were obtained from Premier Group Purchasing Organization. Results: From May 2008 to May 2013, 292 Yttrium-90 hepatic radioembolization procedures were performed for primary and metastatic disease. Eighty patients received the innovated balloon occlusion technique. This technique resulted in less fluoroscopy dose to the patient, faster procedure times, similar clinical outcome and a disposable cost savings of $1,138.72. However, because numerous procedure steps were avoided, the total average per-patient reimbursement was decreased by $8,044.05. Conclusions: Innovation that simplifies a procedure frequently obviates process steps that correspond to specific CPT codes. Hence, in a fee-for-service payment system, a faster, safer and cheaper option may result in fewer CPT codes and lower reimbursement, a disincentive that slows adoption. Our experience resulted in lost profit of over $8,000 per case for a total exceeding $640,000. Not surprisingly, this technique has not been widely embraced since we described it nearly two years ago. Conversely, a bundled payment model would have resulted in better aligned incentives, increased profit, and cost savings shared by patients, providers, and payers.

scholarly journals Statistical Studies of Problems of the Development of Professional-Technical Education in Ukraine

2017 ◽  
pp. 54-64
Author(s):  
М. V. Lesnikova
Keyword(s):  
Labor Market ◽  
Professional Education ◽  
Professional Training ◽  
Technical Education ◽  
The State ◽  
Domestic Economy ◽  
Employment Service ◽  
Demand And Supply ◽  
State Employment ◽  
Real Picture

The national system for workforce training in professional-technical education institutions (PTEI) fulfill less than the third part of its key tasks: supply of the domestic economy with the skilled staff in conformity with the labor market needs, balancing of demand and supply of the workforce with due consideration to priority areas of the economic development. The main source of data on the labor market is statistical information collected by the State Employment Service. According to experts, the State Employment Service does not adequately provide the real picture across the labor market, because it administers mostly vacancies with low salary rates or ones not demanding high professional qualifications. Considering the above said, modernization of the education statistics on professional-technical education (PTE) is greatly important as a means for regulating interactions between the market of education services and the labor market. As of 01.01.2017, the PTEI network covered 810 education institutions (not including PTEI in Donetsk and Luhansk regions, located in the antiterrorist operation area), with quite even distribution of PTE institutions across the regions. Drawbacks of the professional education system, not properly adapted to future needs of the domestic economy, resulted in low competitiveness of most part of the youth at the labor market due to lack of professional competencies or lack of the required qualifications and skills. The scopes and professional and qualifications structures of professional training in PTE I are, by large, do not correspond with the employers’ needs. The main indicator reflecting the correspondence of the scopes and the professional and qualifications structure of PTEI graduates to the needs of domestic labor market is the integral coefficient of balance between demand and supply of the workforce trained in PTEI. The key components in the new model for statistical reporting on PTE are as follows: setting the conformity between the nomenclature of definitions (terms) for statistical reporting forms on PTE with definitions (terms) adopted in the Law of Ukraine “On Education”; inclusion of the indicator on PTE costs, by profession (or groups of professions) and source of financing; inclusion of the indicators reflecting the observance of PTE standards for persons with special needs, considering their individual mental, intellectual, physical and sensor abilities. The essential mechanisms for solutions of problems related with PTE development in Ukraine involve building up the institutional framework to implement the new innovative model for regulation of professional training by the principle of public-private-government partnership, i. e. engaging all the resources available with stakeholders and their as more extensive as possible adaptation of foreign (international) approaches and analogues that have proved their durable effectiveness.

scholarly journals Analysis of government employment policy at the modern stage

2020 ◽  
Vol 10 (19) ◽  
pp. 124-129
Author(s):  
Valentyna Nykolaieva ◽  
Keyword(s):  
Labor Market ◽  
Public Administration ◽  
Social Services ◽  
Full Range ◽  
The State ◽  
Employment Policy ◽  
Employment Service ◽  
Government Employment ◽  
State Employment ◽  
The Government

The article reveals the directions of government policy in the field of employment, in particular: constant improvement of existing legislation, increasing the purchasing power of the population, preventing the development of unemployment and reducing it, stimulating economic activity, reforming public administration in the field of employment. Factors influencing the employment of the population of the regions: natural–geographical, demographic, economic, social, legislative–legal, political, legal, technical–technological, historical–cultural, ecological. Particular attention is paid to the modernization of the Government Employment Service through the expansion and active implementation of electronic and innovative services. As part of the reform of state employment policy in the of the Government Employment Service, new forms of social services were introduced: educational portal; provision of electronic social services to citizens and employers; institute of career counselor, differentiated approach to clients, taking into account skills, qualifications and provision of targeted services to return them to the labor market; individual plans for the provision of social services and employment. To modernize the civil employment service and determine its role and significance for society, the Strategy for the Development of the Civil Employment Service for 2020–2022 was developed and the service was improved on the basis of the main pillars of service provision, introduction of new approaches to staff work. It is proved that to overcome the employment crisis it is necessary to update the contents of the government employment policy, to shift the focus from payment of unemployment benefits to the creation of modern jobs and facilitate the unemployed to develop their activity and competitiveness in the labor market. In particular, national employment policy priorities, state employment programs, legislation and regulations should be developed at the state level. The entire content of public administration activities to implement employment policy should reflect the full range of active and passive measures of the state in the labor market and apply the most effective methods and techniques of public administration, taking into account the specifics of a particular region. Thus, the activities of public administration bodies to implement an effective employment policy should be aimed at creating more active measures in the labor market, considering the specifics of a particular region and community.

scholarly journals State Regulation of Employment of the Population of the Republic of Belarus on the Basis of Continuous Education

2018 ◽  
Keyword(s):  
Labor Market ◽  
State Regulation ◽  
The State ◽  
Continuous Training ◽  
Continuous Education ◽  
Active Population ◽  
State Employment ◽  
The Republic ◽  
Business Entities ◽  
The Individual

The issues related to the assessment of the effectiveness of state regulation of employment in the Republic of Belarus in the context of the development of an innovation-type economy are considered in the article. The purpose of this article is to assess the measures of state regulation of the level of employment of economically active population in the Republic of Belarus, based on the use of various forms of continuous education. The state of the cou ntry’s labor market is assessed, which is characterized by the presence of structural unemployment and insignificant volumes of investments directed by business entities to the development of human capital in order to reduce its level. The main legislative acts regulating the order of continuous education of different categories of personnel in the organizations of the country are considered. The concepts of «competitiveness of the individual in the labor market» and «competitiveness of the employer in the labor market» are formulated taking into account the competence approach, which assumes the formation of competencies and qualifications in the process of continuous training that provide the necessary degree of worker’s mobility in the labor market. The peculiarities of state regulation of latent unemployment in business entities of the Republic of Belarus are considered by means of their stimulation to the organization of continuous training of workers. Organizational and legal bases of interaction betwee n regional offices of the State Employment Service, employers and dismissed workers (employee in danger of dismissal) in the organization of continuing education to improve competitiveness and mobility in the labor market are assessed. Recommendations are developed for the personnel management services of organizations related to the use of different forms of continuous training in the process of optimization of the number of staff in the short and medium term within the current legislation of the country.

scholarly journals Impact of COVID-19 quarantine restrictions on labor market and rural employment

Ekonomika APK ◽  
2021 ◽  
Vol 318 (4) ◽  
pp. 51-67
Author(s):  
Oleksii Mohylnyi ◽  
Nataliia Patyka ◽  
Olena Hryschenko
Keyword(s):  
Labor Market ◽  
Rural Areas ◽  
Economic Activity ◽  
Rural Population ◽  
The State ◽  
Employment Service ◽  
Rural Labor ◽  
Rural Employment ◽  
State Employment ◽  
The Impact

The purpose of the article is to assess the impact of restrictive quarantine measures in 2020-2021 related to the spread of the COVID-19 pandemic on the rural labor market, the level of employment and the extent of rural poverty. Research methods. The basis for the study were general scientific and economic methods, creative heritage of the classical political economy founders, publications of Ukrainian scientists on the impact of quarantine restrictions related to the spread of the COVID-19 pandemic, on social and labor relations in rural areas, regulations, data from the State Statistics Service of Ukraine and the State Employment Service, Internet resources and other sources. The monographic approach was used in the analysis of the employment rate dynamics of the rural population, changes in the labor market and the scale of poverty caused by the lockdowns introduction in 2020-2021. Normative and positive approaches are used to highlight the labor potential of rural areas and opportunities for its implementation in a pandemic. A number of abstract-logical techniques allowed formulating intermediate and final conclusions and proposals. Research results. The phenomenon of the category "labor" as a process of conscious and purposeful activity on the transformation of natural and economic factors of production in order to meet human needs is considered. The institutional preconditions of spatial differences in the concentration of jobs in rural and urban areas and the deepening of inequality in their development are highlighted. Changes caused by a number of restrictions on economic activity in order to prevent the spread of the COVID-19 pandemic in Ukraine are analyzed, in the field of the rural population employment by age groups, employment status, unemployment among working-age people, the number of employees who received unemployment status, as well as the workload per vacancy registered with the State Employment Service, the dynamics of its provision of services to rural residents. Public opinion that in the employment and rural labor market due to non-compliance with quarantine restrictions on economic activity, technological features of agricultural production and lower density, the rural population suffers less from quarantine measures is refuted. As a result of the introduction of two all-Ukrainian lockdowns in 2020–2021, the number of employed rural population decreased by 361 thousand people, or by 7%, of them employed - by 198 thousand and self-employed - by 153 thousand. The unemployment rate for this period also increased by 1.7 percentage points, or 11.5%. In April-May 2021, almost 120,000 workers received the status of unemployed dismissed from agricultural, forestry and fisheries enterprises, or one in five of the total in the economy. In addition, the number of applicants for one vacancy in rural areas has doubled, while reducing the financial capacity of the State Employment Service, especially with regard to the implementation of active forms of employment recovery. An integral consequence of quarantine restrictions was the spread of poverty among the rural population and the further social exclusion of people with unprotected self-employment. Scientific novelty. Methodological approaches to assessing the negative impact of quarantine restrictions related to the spread of the COVID-19 pandemic on rural employment, the rural labor market and the well-being of rural households have been further developed. Practical significance. The results of the impact of quarantine restrictions on employment and the rural labor market in 2020-2021 may be taken into account when developing measures to support micro and small businesses and self-employed agricultural workers in extreme conditions of society, such as a pandemic. Tabl.: 3. Figs.: 5. Refs.: 35.

scholarly journals STIMULATION OF EFFECTIVE EMPLOYMENT IN THE CONDITIONS OF SOCIAL VULNERABILITY

2021 ◽  
Vol 5 (2) ◽  
pp. 34-45
Author(s):  
О. Levytska ◽  
◽  
О. Mulska ◽  
U. Ivaniuk ◽  
◽  
...  
Keyword(s):  
Labor Market ◽  
Rural Areas ◽  
The State ◽  
Population Increase ◽  
Modern State ◽  
Employment Policy ◽  
Information Tools ◽  
State Employment ◽  
External Migration

The purpose. The purpose of the article is to substantiate the need to improve the modern state employment policy under the intensification of external migration of the population of Ukraine. Effective institutional-administrative, organizational-economic, and information tools of the state employment policy should be used to create and improve the quality of existing jobs, intensify employment in rural areas, eliminate shadow employment and wages, equalize imbalances in supply and demand in the labor market. Design/Methodology/Approach. To study the need to develop modern state employment policy in Ukraine, the authors used the following research methods - theoretical and logical explanation, statistical analysis, systematization and explanation, semantic analysis. The study was conducted within the framework of institutional economic theory, migration, and state regulation of the economy. Conclusions. The studies have shown that the containment of external migration processes by increasing the number and improving the quality of jobs, in connection with which the task of developing the state employment policy against the background of high migration activity of the population of Ukraine is relevant. It is substantiated that the main challenges of the modern sphere of employment in Ukraine lead to an increase in external migration, namely: formation of labor shortage in the national labor market, intensification of destructive changes in employment; low pay, especially for budget sphere workers, the spread of shadow employment schemes, which leads to a decrease in social protection of employees; strengthening of professional and qualification imbalance in demand and proposals in the labor market due to the mismatch in training the specialists for the needs of the economy. Other challenges are the unformed labor market in rural areas, preservation trends of open and hidden unemployment among the rural population, reducing the demand for labor in rural areas; lack of appropriate conditions for the development of inclusive labor market, the insufficient realization of opportunities and potential of the state employment services in ensuring the innovative development of employment. The objective necessity of realization of effective institutional-administrative, organizational-economic, and information tools of the state employment policy is proved, which largely depends on the natural containment of migration processes in Ukraine. The implementation of the presented tools is focused on economic stabilization of the situation in the country and regions by stimulating the de-shadowing of business and income, increase the welfare of the population, increase of opportunities for young people in employment, and the growth of aspirations of migrant workers to remigration and realization of own business goals on the territory of Ukraine. Originality/value. The value of the research lies in the development of the mechanisms to ensure the competitiveness of national and regional labor markets as a tool for regulating external labor migration, as well as for improvement of the state employment policy, especially the development of innovative and creative types of work.

scholarly journals Modernization of the state labor market policy as a factor in overcoming the socio-economic crisis in Ukraine

2019 ◽  
Vol 9 (1) ◽  
pp. 37-49
Author(s):  
Yurii Marshavin
Keyword(s):  
Labor Market ◽  
Socioeconomic Development ◽  
Driving Forces ◽  
Banking System ◽  
Modern Science ◽  
Well Being ◽  
The State ◽  
Added Value ◽  
Employment Policy ◽  
State Employment

The relevance of the research topic is determined by the need to overcome the crisis of the Ukrainian labor market based on balancing state employment policy with other areas of social and economic policy, coordinated use of its tools aimed at forming a system of modern science-intensive jobs that meet the EU latest achievements and standards, especially in information and communication as well as digital economy. The purpose is to analyze the causes of the crisis in the domestic labor market, identify its climate dependence on the main macroeconomic and other factors and develop new approaches to the content and toolset of modern state employment policy. The processes in the labor market, their trends and driving forces are the study object. The research used methodological provisions of Keynesian and other theories and concepts of employment, graphical and correlation analysis, content analysis, classification-analytical and statistical-analytical methods. It has been proved that it is necessary to develop the internal market (by raising the incomes of the population) and raise the innovation-investment framework of employment based on increasing the reliability of the banking system, participation of the population in the stock market operations, develop non-governmental pension funds, credit unions, create real barriers against the money outflow, stimulate export activity of Ukrainian producers at the expense of competitive products with high added value. The use of the directions and instruments proposed in the article to modernize the state employment policy will help to overcome the labor market crisis, increase the population well-being, economic growth, and the country’s entry into the trajectory of sustainable socioeconomic development.

scholarly journals Urgent problems of employment and promotion of competitiveness for discharged military personnel in Ukraine

2020 ◽  
Vol 66 (5) ◽  
pp. 139-147
Author(s):  
Ye. Abramov
Keyword(s):  
Labor Market ◽  
Military Personnel ◽  
Social Protection ◽  
The United States ◽  
The State ◽  
Social Adaptation ◽  
Employment Service ◽  
Control Functions ◽  
State Employment ◽  
Low Efficiency

The article is devoted to the investigation of urgent problems concerning the employment and promotion of competitiveness for discharged military personnel in Ukraine. According to the results of sociological survey conducted by means of the author's tools, it is determined that significant number of respondents are characterized by recognition of risks of non-employment after active service expiration, lack of awareness of existing rights and guarantees in the labor market, low efficiency of public services in the sphere of employment and adaptation. It is determined that increase of competitiveness in Ukraine labor market for discharged military personnel requires modernization of technologies of state institutions activity related to the employment of the investigated category of citizens, search of additional funding sources, adaptation of discharged military personnel, providing them with free legal services on employment, active cooperation of the employment service with educational institutions, employers and other labor market entities, etc. The structural analysis of employment services in Ukraine, the United States and the Kingdom of Norway aimed at the improvement of discharged military personnel employment and increase of their competitiveness in the labor market of Ukraine, showed the need to create the department of social protection and employment of military personnel in the State Employment Service of Ukraine and to provide this department with the following functions: social adaptation, training and retraining in nondefense occupations and employment of discharged military personnel increasing competitiveness in the labor market of Ukraine and providing the opportunity for fast readjustment to civil life. This department will also provide better employment service work with discharged military personnel and reduce the risk of their unemployment, as well as decrease the percentage of unemployed in the labor market of Ukraine. The analysis showed that it is necessary to provide new functions to the State Employment Service in order to improve the work with job hunters, change the required control functions for the functions of employment assistance.

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