Leveraging the Existing US Healthcare Structure for Consumer Financial Well-Being: Barriers,Opportunities, and a Framework toward Future Research

Healthcare exchange often contains peril for consumers because of numerous barriers to financial well-being (FWB). Rather than ruing specific agendas of healthcare policy, we embrace a neutral and immediately actionable approach. The authors promote gains in healthcare's current composition by empowering consumers to be proactive, where possible, in reducing power inequities and improving their own FWB. As such, the authors identify primary barriers to the FWB of healthcare consumers and propose individual opportunities within the existing healthcare structure that are likely to improve fiscal outcomes. Moreover, the current research demonstrates collaborative paths wherein power-holders (i.e., practitioner, researcher, consumer, government) can collaborate toward and/or contribute to the same financial health. A proposed theoretical framework, with foundations of power-responsibility equilibrium and transformative service research, gives rise to future research directions. This research is intended to provide a foundation for healthcare and FWB thought/action, and to guide coming scholarly offerings.     

Water Externalities: Tragedy of the Common Canal

Laboratory experiments are used to investigate alternative solutions to the allocation problem of a common‐pool resource with unidirectional flow. Focus is on the comparative economic efficiency of nonbinding communications, bilateral “Coasian” bargaining, allocation by auction, and allocation by exogenous usage fee. All solutions improve allocative efficiency, but communication and bilateral bargaining are not generally as effective as market allocations. An exogenously imposed optimal fee results in the greatest allocative efficiency, closely followed by an auction allocation that determines the usage fee endogenously.     

Effects of market returns and market volatility on investor risk tolerance

The 2008 credit market debacle and subsequent “Great Recession” accompanied by the stock market crash of 2008 has caused many investors and their advisors to reevaluate their risk tolerance and investment asset allocation choices. Additionally, marketers for many financial institutions and investment advisors are rethinking the strategies and tactics they use for both individual and corporate clients about the level of risk that is appropriate to meet their investment objectives. This research shows that an investor’s risk tolerance is not as stable as it has been portrayed previously in the literature and can be affected by both the direction of movement and the volatility in the market. In addition, this research provides some suggestions on how to frame investment decisions for individual investors to better assess their actual risk tolerance in the face of a volatile market.     

Employers’ Perspectives on the Canadian National Standard for Psychological Health and Safety in the Workplace

Mental illness is the leading cause of disability in Canada, with costs estimated at 51 billion dollars annually in addition to significant social costs. The Canadian National Standard for Psychological Health and Safety in the Workplace (the Standard), recently released by the Mental Health Commission of Canada, aims to promote psychological health and safety in Canadian workplaces. The purpose of this study was to explore the perspectives of Canadian employers on the National Standard for Psychological Health and Safety in the Workplace. Ten employers from large, medium, and small workplaces participated in qualitative semi-structured interviews. Interviews were transcribed and thematic analysis was used to identify themes. Employers are concerned with workplace mental health and see value in the Standard, but are relatively uninformed about it. Employers identified leadership as a critical ingredient for effective Standard implementation, and believed that benefits of the Standard can be far reaching. Roger’s (2003) Diffusion of Innovations model is applied to conceptualize the uptake of this important social change. Employers’ perspectives and foundational knowledge about the Standard provides a starting point for collaborations between human resource professionals, workplace consultants, and workplace leaders to move the implementation of the Standard forward and create psychologically healthy work environments.     

ECONOMIC DETERMINANTS OF WORKERS’ RETIREMENT DECISIONS

The landscape for older workers has changed dramatically in recent decades. Governments have made cuts to public pension programs, private pensions have shifted from defined benefit to defined contribution plans, equity and housing markets have been unusually volatile, and workers have experienced declining morbidity and mortality. At the same time, the labor force participation rate for older men and women has been rising over the past two decades, implying later retirement. Are these phenomena related? This paper reviews the large and growing body of literature exploring the economic determinants of workers’ retirement decisions, including public and private pensions, wealth and savings, health and health insurance, and labor demand.     

Making Sense of an Interconnected World: How Innovation Champions Drive Social Innovation in the Not-for-Profit Context

Social innovation is critical for supporting the economic and social fabric of communities globally. Yet little is known about the processes through which social innovation occurs and how context shapes them. To date, scholarship has focused primarily on social entrepreneurs and social enterprise creation, while the role of established not-for-profits (NFPs) as agents of social innovation has received surprisingly little attention given their importance to communities. It is expected that innovation will be increasingly important for NFPs as shifts in their funding models create greater complexity in maintaining sustainability and continuity in social service delivery. This research generates a deeper understanding of the processes of social innovation within NFPs by examining how multiple levels of context influence the behaviors of a key set of agents: innovation champions. Adopting an interactionist lens, the study explores how shifts in funding policy at the macro level, and the role of leaders (CEOs and Boards) and organizational institutional logics at the meso level, influence champion behavior at the micro level. To do this, we draw on sensemaking as an important cognitive and action-enabling mechanism. A qualitative, multicase study design with 46 interviews across six case organizations allows an in-depth exploration of this under-investigated area. The findings indicate that bricolage activity can facilitate championing that supports social innovation within NFPs and that organizational context guides the direction and content of champion behavior. The findings further uncover a broader range of behaviors and outcomes than have been previously attributed to champions, while highlighting the critical role that bricolage-enabled championing can play in driving social innovation that is both directly impactful and offers significant longer-term social impact. The important roles that sensebreaking, sensegiving, and sensemaking play in connecting champions’ interpretations of their contexts to their behaviors are also outlined.     

Labor market shocks and retirement: Do government programs matter?

This paper argues that labor market conditions are an important and often overlooked determinant of retirement transitions. In our analysis, we examine how the unemployment rate affects retirement and whether the Social Security (SS) system and Unemployment Insurance (UI) system influence how older workers respond to labor market shocks. We use pooled cross-sectional data from the March Current Population Survey (CPS) in our analysis. We find that downturns in the labor market increase retirement transitions and that the magnitude of this effect is comparable to that associated with moderate changes in financial incentives to retire and to the threat of a health shock facing older workers. Interestingly, retirements only increase in response to an economic downturn once workers become SS-eligible, suggesting that retirement benefits may help to alleviate the income loss associated with a weak labor market. We also estimate the impact of UI generosity on retirement and find little consistent evidence of an effect. This suggests that in some ways SS may serve as a more effective form of unemployment insurance for older workers than UI.