Large Employers Research Articles

Health Benefits In 2024: Higher Premiums Persist, Employer Strategies For GLP-1 Coverage And Family-Building Benefits.

In 2024, the average annual premium for employer-sponsored family health coverage was $25,572, an increase of $1,604 (7percent) from 2023. Over the course of the past five years, the average family premium has increased 24percent, which is similar to growth seen in inflation (23percent) and wages (28percent). On average, covered workers contributed 16percent ($1,368) of the cost of single coverage and 25percent ($6,296) of the cost of family coverage. The average general annual deductible for single coverage for workers with a deductible was $1,787, similar to that in recent years but 47percent higher than a decade ago. In 2024, 18percent of large firms offering health benefits, including 28percent of those with 5,000 or more employees, covered GLP-1 antagonists for weight loss. Large employers were more likely to perceive their overall provider networks as broader than their networks for mental health and substance use conditions.

Employers most desirable attributes in early-career physiotherapists: a content analysis of job advertisements

BackgroundEnsuring a sufficient, appropriately qualified health workforce is of global concern. Understanding the attributes that employers seek is critical in recruitment, retention, and educational design. In physiotherapy, there is a dearth of evidence on desirable attributes that employers seek from early-career physiotherapists. This study directly addresses this gap. The aims of this study were to identify the characteristics of the jobs advertised for early-career physiotherapists in Australia; determine which attributes were most desired when employing an early-career physiotherapist; and identify if there were differences in the attributes required based upon workplace location.MethodsNew graduate and early-career physiotherapy job advertisements were collected for six months from 1st October 2020 until 31st March 2021 from SEEK.com.au, a large online employment marketplace that operates across ten countries in the Asia Pacific and Latin America. Job advertisements needed to specify new graduate or early-career physiotherapist eligibility and be located within Australia. Data extraction were completed using QuestionPro®. The Modified Monash Model was used to classify rurality of job location. Job advertisements were analysed descriptively and using content analysis to identify attributes.ResultsThe search yielded 578 job advertisements with the greatest number collected in October 2020 (25.3%). Of the advertisements, 428 (74.0%) were in metropolitan locations (Modified Monash 1), 47 (8.1%) were in regional (Modified Monash 2), 99 (17.1%) were in rural locations (Modified Monash 3–5), and 4 (0.8%) were in remote locations (Modified Monash 6–7). Most roles were in private practice (63.3%) or aged care (21.7%). The top five attributes requested by employers were client focus, communication and interpersonal skills, team player, willingness to learn, and being able to build rapport, relationships, and networks. Academic results, resilience, and empathy were the least requested attributes. Differences in requested employability attributes increased with rurality.ConclusionsThis study addresses the current knowledge about attributes sought by employers for early-career physiotherapists. The most prevalent attributes requested were client focus and communication and interpersonal skills. This exploration of attributes can help to better prepare graduates for their first roles, align expectations, and increase understanding of priorities for entry level university programs, as well as identify priorities for support during transition to practice. Desired attributes should be clearly defined by employers in recruitment and retention processes.

Impact of state-level labour law reforms in India: an empirical analysis

The impact of Indian state labour law reforms on employment, output, new industrial units, investment and size of industrial units is examined from 2000–01 to 2017–18. States with inflexible labour laws had lower growth of large industrial units and regular employment. Contract worker hiring spiked in firms with 301–500 workers in both flexible and inflexible states. Capital growth was higher than growth of workers in all state categories. Rajasthan, the first state to carry out additional reforms in 2014, had good performance. Regressions carried out to control for factors that impact employment other than labour laws indicate that: (i) reforms had a positive impact on employment; (ii) good infrastructure, reduction in industrial disputes, low crime and better education resulted in significant employment generation. Difference-in-differences estimates show that post-reform, employment, fixed capital, and output were higher for flexible labour law states, when compared to inflexible labour law states.

The Dynamics of Abusive Relationships

Abstract Domestic abuse encompasses a range of damaging behaviors beyond physical violence, including economic and emotional abuse. We analyze the impact of cohabiting with an abusive partner on victims’ economic outcomes. In so doing, we highlight the systematic role of economic suppression in such relationships. Using Finnish administrative data and a matched-control event-study design, along with a within-individual comparison of outcomes across relationships, we document three new facts. First, women who begin relationships with (eventually) physically abusive men suffer large and significant earnings and employment falls immediately upon cohabiting with the abusive partner. Second, the decline in economic outcomes is non-monotonic in women’s pre-cohabitation outside options. Third, men who are violent against women in any capacity impose economic costs on all their female partners, even those who do not report physical violence. To rationalize these findings, we develop a new dynamic model of abusive relationships where women do not perfectly observe their partner’s type, and abusive men have an incentive to use economic suppression to sabotage women’s outside options and their ability to later exit the relationship.

The Genetic Information Nondiscrimination Act and workplace genetic testing: Knowledge and perceptions of employed adults in the United States.

Workplace wellness programs are an emerging avenue for health-related genetic testing, with some large employers now offering such testing to employees. Employees' knowledge and concerns regarding genetic discrimination may impact their decision-making about and uptake of workplace genetic testing (wGT). This study describes employed adults' objective knowledge of the Genetic Information Nondiscrimination Act (GINA) and evaluates how this knowledge correlates with attitudes and beliefs regarding wGT. Analyses utilized data from a large, national web-based survey of employed adults (N = 2000; mean age = 43 years; 51% female; 55.2% college educated). Overall, most respondents (57.3%) said they were unaware of any laws protecting against genetic discrimination. Specifically, 62.6% indicated they were not at all familiar with GINA. The primary study outcome was respondents' score on a 13-item measure assessing knowledge of basic facts about GINA. Participants had low overall GINA knowledge (M = 4.6/13 items correct (35%), SD = 2.9), with employees often presuming GINA offers greater legal protections than it does (e.g., 45.3% erroneously endorsed that GINA protected against discrimination in life insurance). Logistic regression analyses assessed associations between GINA knowledge and employees' demographic characteristics, prior experience with genetic testing, and attitudes regarding wGT. Variables significantly associated with GINA knowledge included higher interest in wGT (aOR = 1.45; 95% CI: 1.20, 1.77), self-reported familiarity with GINA (aOR = 2.02; 95% CI: 1.64, 2.50), and favorable attitudes toward wGT (aOR = 1.92; 95% CI: 1.52, 2.44). Results indicate public knowledge of GINA remains low over 15 years after its passage. These findings highlight the need for employee education on GINA before participating in wGT, as well as broader public education on GINA's legal protections and limitations. Genetic counselors lead GINA education efforts in clinical and public settings and can play a pivotal role in ongoing public education initiatives about GINA.

Інституційний простір сфери оплати праці.

The problem of adequate performance of economic and social functions of labor remuneration and its compliance with the criteria of decent work is extremely relevant for Ukraine. The problem cannot be solved only by adjusting the existing and adopting new normative legal acts of labor law, since the corresponding legislative amendments must be accepted by the key parties to social and labor relations. The purpose of the article is to investigate the institutional environment in the field of labor remuneration in Ukraine in its various manifestations, to identify the most common institutional constructions, structures and practices that need correction and should become a priority object of state policy. The research was conducted using the methods of desk study. In the absence of official statistical data on the labor market and wages, indirect assessment methods were used based on available administrative data, materials of international organizations, results of sociological surveys, etc. The authors abandoned the traditional identification of institutions exclusively with formal organizations, which are mainly created by the government. The novelty is provided by the study of widespread informal institutional structures and practices, their main manifestations and socio-economic consequences. he study revealed that due to the low efficiency of controlling and punitive instruments of state regulation, several informal and implicit institutional structures have taken root in the institutional environment of the sphere of labor remuneration in addition to or instead of formal norms and rules, in particular, the shadowing of labor remuneration, labor remuneration based on individual agreements, unpaid overtime work, fictitious individual entrepreneurs, etc. Manifestations, main causes and consequences of the spread of informal practices are analysed. The impact of the full-scale military aggression against Ukraine on the labor market and labor force patterns in terms of working conditions and wages is assessed, and the risk of deepening shortage of workers for the needs of the post-war reconstruction is emphasized. The role of the government as the largest employer and the main transformations of the wage institution in the public sector are revealed. Conclusions have been made regarding the priority functions of the state in the sphere of wages, based on the need to ensure the resilience of the national economy.

Communicating Workplace Spirituality

Workplace spirituality has been the focus of many studies, which underline its importance for organizations and employees. While most larger employers have embraced inclusion strategies that recognize and support neurodiversity, gender, race, ability, and other characteristics, spirituality appears to be excluded from the conversation, despite evidence of its benefits. This study explores the question, “how are large Canadian employers signalling a commitment to workplace spirituality to prospective employees?” Employing content analysis, the websites of 25 large Canadian organizations were examined to discover: (1) how they publicly communicate spirituality; (2) what can be inferred from this communication; and, (3) what first steps organizations can take to signal spirituality to prospective employees. The findings show few of these organizations publicly communicate spirituality, either explicitly or implicitly. We also examine the barriers and opportunities explicit declarations of spiritual support create in attracting and retaining talent.

OPPORTUNITIES AND CHALLENGES FOR MICRO, SMALL & MEDIUM ENTERPRISES (MSMES) IN INDIA: A DETAILED STUDY

Purpose: The purpose of the study is to review the existing opportunities and challenges of MSMEs in India mainly after implementation of GST. MSMEs make up more than 90% of all enterprises in most economies, are the main drivers of job growth, and contribute significantly to both industrial output and exports. MSMEs are essential to the broader industrial growth in India as well. When compared to the industrial sector as a whole, the MSME sector has had more expansion in recent years. Since then, 50% of MSMEs in India are owned by poor communities, it is possible to assess the significance of the MSME sector. MSMEs have contributed praiseworthy role in the conversion of the economy of India is rural economy to an industrialised one. The second largest employer in India is the MSME sector, right behind the agricultural sector. They are extensively spread out around the nation and generate a wide variety of goods and services to satisfy the demands of local, national, and multinational supply chain as well as local and worldwide marketplaces. To grow this industry and increase its competitiveness, the government has offered a number of plans and initiatives. Nevertheless, this industry has been contributing a large portion in India's economy but there are numerous obstacles that make the running of this sector incredibly challenging. The current study makes an effort to pinpoint key opportunities and restrictions for MSMEs in India. Design/Methodology/Approach: The study mainly includes the review of secondary data collected from various authors, journals, magazines, government’s websites and other various unpublished sources.Findings: The study makes an effort to draw attention to the different government initiatives created to support the MSME sector in India. The study showed that while the government is making every effort to support MSMEs through a variety of measures, there are still many restrictions and challenges that this industry must overcome.Future Scope of Research: As we all know, the Indian economy is still in its early stages, and the implementation of GST in India is only five years old. Therefore, there are many sectors and areas in the Indian economy that are not fully developed, and the development of these sectors in the near future will create more opportunities and challenges for MSMEs.

Characterizing the Association Between Traumatic Brain Injury and Discontinuation of Medications for Opioid Use Disorder in a Commercially Insured Adult Population.

Extending prior research that has found that people with traumatic brain injury (TBI) experience worse substance use treatment outcomes, we examined whether history of TBI was associated with discontinuation of medication to treat opioid use disorder (MOUD), an indicator of receiving evidence-based treatment. We used MarketScan claims data to capture inpatient, outpatient, and retail pharmacy utilization from large employers in all 50 states from 2016 to 2019. We identified adults aged 18 to 64 initiating non-methadone MOUD (ie, buprenorphine, injectable naltrexone, and oral naltrexone) in 2016-2019. The exposure was whether an individual had a TBI diagnosis in the 2years before initiating MOUD. During this period, there were 709 individuals with TBI who were then matched with 709 individuals without TBI. We created a retrospective cohort of matched individuals with and without TBI and used quasi-experimental methods to identify the association between TBI status and MOUD use. We estimated propensity scores by TBI status and created a 1:1 matched cohort of people with and without TBI who initiated MOUD. We used a Cox proportional hazards model to identify the association between TBI and MOUD discontinuation. The outcome was discontinuation of MOUD (ie, a gap of 14days or more of MOUD). Among those initiating MOUD, the majority were under 26years of age, male, and living in an urban setting. Nearly 60% of individuals discontinued medication by 6months. Adults with TBI had an elevated risk of MOUD discontinuation (hazard ratio [HR] 1.13; 95% confidence interval [CI], 1.01-1.27) compared to those without TBI. Additionally, initiating oral naltrexone was associated with a higher risk of discontinuation (HR 1.63; 95% CI, 1.40-1.90). We found evidence of reduced MOUD retention among people with TBI. Differences in MOUD retention may reflect health care inequities, as there are no medical contraindications to using MOUD for people with TBI or other disabilities.

Comparative analysis of the organization works of the psychological service of the system education of Ukraine and Israel

The article presents a comparative analysis of the work experience of the school psychological service of Israel and Ukraine in order to study the current experience in providing assistance to schoolchildren, especially in the context of the full-scale invasion of the Russian Federation into Ukraine. Attention is focused on significant changes and transformations of the psychological service of the education system of Ukraine, which arose in the conditions of the war with the Russian Federation. The priority directions of the psychological service, its regulatory and legal support, content, purpose, functions of the psychological service employees of educational institutions (pre-school, general secondary, extra-curricular, specialized, professional (vocational-technical), vocational pre-university and higher) are disclosed. Normative, standard requirements for the professional qualification of psychologists in educational institutions in Ukraine and Israel are presented. The activity of the Association of Psychologists of Ukraine is characterized in comparison with the trade union Israeli Psychological Association. The study showed that Israel has a developed system of school psychology, experience of integration and interaction of the psychological and pedagogical service and educational institutions. Attention is focused on the work of the Council of Psychologists in Israel, which includes psychologists from various divisions of the Israel Psychological Association, universities and large employers (Ministry of Health, Education and Social Security). The biggest difference is the organization of the psychologist's systemic work in Israel, that is, work with the school as a system. A pedagogical psychologist does not belong integrally to the educational institution, but is administratively and professionally subordinated to external organizations. In Israel, the experience of providing psychological assistance to schoolchildren, their parents and school employees in the conditions of an ongoing armed conflict, shelling of cities, in the case of casualties among the civilian population, including children, has been developed.

The Power of Commitment: Creating an Award-Winning Culture of Health and Well-Being at DTE Energy.

The evidence that a healthy and safe workforce provides a competitive business advantage is increasingly clear. However, how to obtain this may be unclear to many. This article presents a case study showcasing how one large employer worked toward improving its culture of health and well-being. Measuring progress using an established corporate health assessment tool, results improved 75% over a 5-year period. In addition, site scan culture checks showed annual improvement, exceeding best-in-class scores by the fifth year. Building a culture of health and well-being often requires a few years to implement fully and involves a commitment to plan, deploy, improve, and manage over time. Ultimately, by following approaches taken by best-in-class employers, this can be accomplished with some ease and without missteps along the way.

Service mix and financial performance in rural hospitals: A contingency theory perspective.

Rural hospitals are increasingly at risk of closure. Closure reduces the availability of hospital care in rural areas, resulting in a disparity in health between rural and urban citizens, and it has broader economic impacts on rural communities as rural hospitals are often large employers and are vital to recruiting new businesses to a community. To combat the risk of closure, rural hospitals have sought partnerships to bolster financial performance, which often results in a closure of services valuable to the community, such as obstetrics and certain diagnostic services, which are viewed as unprofitable. This can lead to poor health outcomes as community members are unable to access care in these areas. In this article, we explore rural hospital service offerings and financial performance, with an aim to illuminate if specific service offerings are associated with positive financial performance in a rural setting. Our study used hospital organization data, as well as county-level demographics with periods of analysis from 2015 and 2019. We employed a pooled cross-sectional regression analysis with robust standard errors examining the association between total margin and service lines among rural hospitals in the United States. The findings suggest that some services deemed unprofitable in urban and suburban hospital settings-such as obstetrics and drug/alcohol rehabilitation-are associated with higher margins in rural hospitals. Other unprofitable service lines-such as psychiatry and long-term care-are associated with lower margins in rural hospitals. Our results suggest the need of rural hospitals to choose services that align with environmental circumstances to maximize financial performance. Hospital administrators in rural settings need to take a nuanced look at their environmental and organizational specifics when deciding upon the service mix. Generalizations regarding profitability should be avoided to maximize financial performance.

What makes public transit demand management programmes successful? A systematic review of ex-post evidence

ABSTRACT Transit crowding results in negative experiences and mode change for transit riders and operational challenges for operators. The COVID-19 pandemic initiated an ongoing transformation of how, when, and where people travel, yet the challenge of balancing demand and supply in transportation remained topical. The pandemic has also exposed the traditional approach of infrastructure expansion for being too slow to respond to the challenges of crowding in a timely manner. As such, this paper provides a systematic literature review of the ex-post studies that evaluated the impact of transit demand management strategies. The paper synthesises the findings from 13 different programmes analysed in 20 studies. It is concluded that at least within the scope of the limited number of identified ex-post studies, the practice of alternative work schedules that allow employees greater freedom when to travel is the demand management approach that can bring the most significant crowding reduction. Once that flexibility is expanded, other strategies that appeal to riders’ preferences might have a larger effect as well. The findings of this review aim to encourage transit agencies to develop collaborations with large employers that can introduce alternative work schedules.

A Study on Herbal Finish for Wound Healing on Adhesive Bandage

Textile industry is one of the largest contributing sectors of India. It is the second largest employer after agriculture, provided direct employment to over 45 million people. Medical textiles are a category of textiles specifically designed for medical purposes, including first aid, clinical, surgical, and hygienic uses. They are engineered to provide various benefits such as biocompatibility, flexibility, strength, and sterility, anti-allergic, anti-bacterial, environmentally friendly, and cost-effective properties. In that an adhesive bandage is also known as sticking plaster, medical plaster, or simply plaster in British English, is a small medical dressing used for injuries not for serious injuries to require a full-size bandage. Finishes plays a major role in the field of medical textiles, in that herbal finishes are one such category. Tridax is a genus of plants in the family Asteraceae. The most well-known species in this genusis Tridax procumbens, commonly known as coat buttons or tridax daisy. It is a perennial herb that is native to tropical and subtropical regions, and it is widely distributed in countries such as India, Nigeria, Brazil, and the United States. Tridax procumbens has been used in various folk medicinal practices. Parts of the plant, such as the leaves and roots, have been used to treat conditions like skin infections, respiratory issues, digestive problems, and even snakebites in some cultures. This paper deals with the research on tridax finish applied on a bandage to analyse the wound healing property.

Cardiology career satisfaction: a little academic activity goes a long way.

The professional landscape for clinical cardiologists and most physicians has changed dramatically in the last decade in the United States. By the end of 2020, 87% of cardiologists were integrated with a health system (employed or part of a professional services agreement). Physicians transitioning to a large employer are often dissatisfied with the lack of autonomy and the pressure from "one-size-fits-all" productivity targets. The results from physician surveys indicate that physicians practicing clinically in an academic environment have greater job satisfaction. Potentially even a modest amount of time comprising 10-20% of total effort spent on academic pursuits that are most meaningful to the individual physician can result in nearly a two-thirds lower risk of burnout compared with physicians who don't receive this time. The opportunity to participate in this special topic compendium by cardiovascular specialists at one regional integrated health system in the United States is an example of an opportunity to successfully incorporate meaningful professional academic opportunities into a clinical care environment.

Identifying the employment effect of county‐city merger in China

AbstractThis paper draws upon a quasi‐natural experiment of county‐city mergers in China to examine whether state‐led urbanisation makes a difference in local labour markets. Based on the difference‐in‐differences framework and three waves of data from the China Household Finance Survey, we show that, on the urban fringe, residents' probability of working in nonagricultural sectors increased by 6.69 percentage points after the policy. Residents responded mainly by shifts from the agriculture sector to being self‐employed. The results indicate that, after fringe counties connect to the corresponding big city in substance, residents in peripheral areas could benefit from the positive spillover effect from large cities and gain employment.

REVIEW OF GLOBAL PRACTICE OF USING CELL PHONE DATA TO MEASURE TRAVELLER DATA

JSC “Ukrzaliznytsia” is a national integrated railway company and the largest employer in the country, playing a crucial role in the Ukrainian economy and the labour market. The rail companies faces significant risks, mainly due to prolonged disruptions due to the ongoing armed conflict on Ukrainian territory [1]. In such conditions, the question of the need for a comprehensive solution to the problems of the functioning of passenger railway transport, where the number of travellers serves as a pivotal indicator of the demand for transportation services, offering essential information for planning and evaluations. Advancements in technology have enabled the collection of crowd-sourced traffic data [2]. Crowdsourced smartphone data can collect information about user locations, travel paths, route choices, travel times, and speeds. This analysis explores how the number of passengers in trains is measured, examining technologies and methods that use cell phone data globally to assess their potential application in Ukraine.

Recruitment strategies in marginalized industries for occupational health research: an example in a pilot study of cleaning staff during COVID-19.

This commentary describes challenges in recruiting workers from marginalized industries with examples from a pilot study of janitors, custodians, and maids and their experiences of cleaning and disinfection protocols during COVID-19 and potentially associated respiratory symptoms. Recruitment strategies included contacting a local hospital, national workers' unions, and a large Arizona employer; using online Facebook groups; and contacting Arizona maid service companies and a school district. English and Spanish online and hard copy surveys about cleaning protocols and respiratory symptoms were used. Participants could also participate in online/phone interviews. Worker's compensation, liability, and confidentiality were concerns across organizations. Online surveys yielded unreliable data. Hard copy surveys were used due to workers' limited technology access. We reflect upon these challenges and discuss other strategies for recruiting from marginalized populations for occupational health research. Building trust with organizations and workers and considering technology access may ultimately increase recruitment feasibility.

Increasing the Retirement Age: Policy Effects and Underlying Mechanisms

We study the effects of increasing the statutory retirement age (SRA) in the Netherlands, using regression discontinuity design and administrative data on the universe of the population. We find clear and large employment effects of the reform. A simple model in which individuals stay longer in their pre-SRA labor market state predicts the treatment effects well. The employment level before the SRA and the retirement hazard at the SRA are the key determinants of the effects of the policy change. Exploring potential explanations for the high hazard rate observed in the Netherlands, our results point to an important role for employers’ effects. (JEL H55, J14, J26, J32)

Granular Search, Market Structure, and Wages

Abstract We develop a model of size-based market power in a frictional labour market. In the canonical search environment, competition for workers is encoded in outside options. In our granular setting, large employers remove their own job postings from their workers’ outside option. Thus, size gives market power and a more concentrated market structure depresses wages because it reduces competition for workers. We calibrate the model to Austrian data and find that such size-based market power depresses wages by about 2.6% or 1,500 euros annually per worker.