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Current Trends in HR: Kim Hester, Ph.D. Professor of Management Arkansas State University
Current Trends in HR: Kim Hester, Ph.D. Professor of Management Arkansas State University
HR
Kim Hester, Ph.D.
Professor of Management
Arkansas State University
Current Trends
Current Trends
Current Trends
Current Trends
Employer Responses
Aggressive health care initiatives,
such as higher deductibles, co-pays,
and employee contribution levels.
88% of employees are required to pay
some of the insurance premium out of
their own pockets.
The employee share rose from 14.0%
in 1992 to 22.1% in 2005.
Source: Economic Policy Institute, 2008
Employer Responses
Changes or elimination of
employee health care coverage
Statistic: Employer coverage
has declined from 61.5% in 1989
to 58.9% in 2000 and down to
55.9% in 2004 (the latest
aggregate data available)
Source: Economic Policy
Institute, 2008
Employer Responses
Focus on changing employee
behaviors
Wellness programs
Smoking cessation efforts
Education of employees on health care
options and associated costs
Employer Responses
Some employers have been holding their
health care costs to a 1% increase.
They're doing it by taking a multipronged
approach, with programs to prod employees to
take more responsibility for their health and to
make more informed health care decisions.
Source: Watson Wyatt Worldwide and the National Business
Group on Health
Employer Responses
Successful employers are
aggressively pushing consumer
directed health plans (CDHPs)
Combines a high deductible insurance policy
with a tax advantaged health savings account
Firms are setting the premiums at 30% below
traditional plans to encourage participation
Participation hit 15% this year, up from 10%
in 2007 and likely to hit 20% in 2008
Source: Watson Wyatt Worldwide and the National
Business Group on Health
Employer Responses
Saving money by providing free drugs and
supplies for chronic diseases (e.g., asthma,
diabetes) that are known to lead to costly
complications.
Goal is to get patients to stick to their treatment
schedules; often tied to classes or coaching
Upcoming survey from Hewitt Associates indicates
nearly 20% of firms do this now, and 47% are
considering doing so in the future
Source: Watson Wyatt Worldwide and the National Business
Group on Health
Employer Responses
Paying the full amount of common
preventive services can also help reduce
costs
These include annual physicals, mammograms,
prostate screenings, flu shots, colonoscopies and
prenatal office visits
Source: Watson Wyatt Worldwide and the National Business
Group on Health
Employer Responses
Sending the sickest employees to the best
doctors is gaining as a strategy
Dubbed by some as a 20-20 approach - employers and their
health plans use data to identify physicians rated in the top 20%
for effective treatments and match them with the 20% of
employees who most need care.
Employers provide financial incentives, (e.g., lower
copayments) as incentives to use the top providers.
Eventually, firms will try predictive modeling to identify the
sickest 20% of employees so steps can be taken today to "get
ahead of the curve
Source: Watson Wyatt Worldwide and the National Business Group on Health
Employer Responses
Increasing financial penalties for employees that
poorly manage their health
Many companies continue to reward workers who take
health risk assessments and participate in health
management programs, while punishing those who do
not
Employers may deny a worker access to higher-benefit
plans if worker declines participation in wellness
programs
Source: Watson Wyatt Worldwide and the National Business
Group on Health
Employer Responses
On-site medical clinics are growing in popularity
Large companies staff clinics with own employees
while smaller firms contract out to nearby clinics
Help provide primary care to workers at low or no cost
On-site clinics lessen time employees spend away
from work.
On-site clinics expanding to include rehab services,
dentistry, X-ray and lab work
Forms inviting specialists to come on-site and offer
their services.
Clinics moving into more active management of
workers' health conditions
Source: Watson Wyatt Worldwide and the National Business Group
on Health
Employer Responses
Putting health care into employees
hands
As health insurance costs continue to rise,
employers are adopting a controversial new
approach: ending group coverage and
giving employees $50 to $200 or so a
month to help buy their own health care
Source: USA Today, March 26, 2008
Success of Programs
Pay for Performance Works When:
It is measurable and objective
There are clear expectations
There is commitment to training and
support
Flexibility for input
Failure of Programs
Pay for Performance Falls Short When:
It pits employees against each other
It pushes one outcome to the detriment of
the others
It is so subjective it opens the organization
and managers to allegations of bias
Source: workforce.com 5/05
Behavior-Based Approaches
Behavior-Based Approaches
Behavior-Based Approaches
Weighted checklist - method
provides a list of performance related
statements that are weighted
Staff members are judged on a scale
indicating the degree to which the
statement accurately describes
performance
Behavior-Based Approaches
Forced-choice method - list of
performance related statements
about job performance are evaluated
on how well they discriminate among
staff and how important they are to
unit or institutional performance
Points to Remember
Before implementing a performance measurement
or management system, see if other areas of your
organization have implemented their own system
Anticipate and consider unintended consequences of
measuring performance
Reinforced behavior will be repeated, so carefully
consider what behaviors should be emphasized
(e.g., individual achievements versus team achievements)
Communication of performance information among
relevant stakeholders crucial to the success of any
performance measurement or management system
Current Trends
Current Trends
Current Trends
Managing the Changing Workforce
1. Increased diversity in the workforce
Creating workplace that respects and includes
differences
Recognizing unique contributions individuals
with differences can make
Creating work environment that maximizes
potential of all employees
Work-Life Balance
According to study by Center for Work-Life Policy, 1.7
million people consider their jobs and work hours
excessive
50% of top corporate executives leaving current
positions
64% of workers feel work pressures are self-inflicted,
and taking a toll
In the US, 70%, and globally, 81%, say jobs are affecting
their health.
Between 46% and 59% of workers feel stress is affecting
their interpersonal and sexual relationships.
Males feel there is stigma associated with saying I cant
do this
Conclusions
Exciting time for HR professionals
More emphasis on cost containment and
control
Focus on employee responsibility and
involvement at work
Greater use of technology in
communication with employees
More flexible patterns of work