Patient empowerment strategies for a safety net

The Milwaukee County General Assistance Medical Program implemented strategies to improve the delivery of care to its patients that include patient education and a Nurse Telephone Line. The partnership between a county-funded program and an academic health center has been very productive and resulted in improvements to the program that benefit underserved patients. The outcomes of these educational strategies are described.     

Alternative Work Arrangements and Job Satisfaction

The pressures of traditional jobs on working families, along with an aging population facing financial need, have contributed to heightened interest in the percentage of workers participating in alternative work arrangements. These include working as an independent contractor or self-employed, and those employed by others on-call, through temp agency, or as contractors. Examining job satisfaction across work arrangements by occupation and gender is one way to investigate a potential increase in the supply of such workers. Higher job satisfaction may indicate that more workers will select into these work arrangements and away from traditional jobs in the future. If this is particularly true for women, it has important implications for firms that would like to retain more women. Moreover, changes in how individuals earn a living may impact the social safety nets of such workers and their families given the nature of how such benefits are provided in the U.S. economy. This study utilizes recent waves of the General Social Survey to explore job satisfaction for workers in disaggregated alternative work arrangements, while controlling for both occupation and gender. The study finds that female workers who are independent contractors and self-employed are more satisfied with their jobs than those in regular salaried jobs, even those in nonprofessional occupations. Job satisfaction for those who work in temp agencies, do on-call work or work for contractors is no different than for those in regular jobs, regardless of occupation and gender.

     

Dispersion in Dispersion: Measuring Establishment-Level Differences in Productivity

We describe new experimental productivity dispersion statistics, Dispersion Statistics on Productivity (DiSP), jointly produced by the Bureau of Labor Statistics (BLS) and the Census Bureau, that complement the official BLS industry-level productivity statistics. The BLS has a long history of producing industry-level productivity statistics, which represent the average establishment-level productivity within industries when appropriately weighted. These statistics cannot, however, tell us about the variation in productivity levels across establishments within those industries. Dispersion in productivity across businesses can provide information about the nature of competition and frictions within sectors and the sources of rising wage inequality across businesses. DiSP data show enormous differences in productivity across establishments within industries in the manufacturing sector. We find substantial variation in dispersion across industries, increasing dispersion from 1997 to 2016, and countercyclical total factor productivity dispersion. We hope DiSP will enable further research into understanding productivity differences across industries and establishments and over time.