Eldercaring employees: an agenda for employers

The aging of the U.S. society and the growth in female labor force participation have produced a workplace environment in which eldercare is becoming common. In the context of the employed caregiver, this article reviews the nature of long-term caregiving arrangements, including the onset of long-term care need, the trajectory that such care takes and the means by which most long-term care needs are met. Six specific recommendations are offered for employers to proactively plan for the impact of eldercare in the workplace.     

Institutional spending policies: implications for future asset values and spending

University endowments, sovereign wealth funds, and foundations support spending. In this paper, we analyze how different spending policies affect future asset values and spending opportunities. We show that the covariance between the asset returns and the spending rate implied by the spending policy is important in this regard. Many of the spending policies used in practice aim at smoothing the spending level by letting current spending be a function of both current asset values and earlier spending levels. One feature of these types of spending policies is that the funds can be depleted. Depleted funds cannot support spending.     

Facts & figures: Health care: Private and public spending,resources, need and provision; Privatisation: A further progress report

Labour Market Policy and Unemployment Insurance Anders Björklund, Robert Haveman, Robinson Hollister and Bertil Holmlund. Clarendon Press, Oxford. 205 pp. £25. 00. ISBN 0 19 828323 7.

Survey of Computer Fraud &; Abuse 1990 Audit Commission, Nicholson House, Lime Kiln Close, Stoke Gifford, Bristol BS12 6SU, UK. £7.50. (A supplement at £9.50 details all the individual cases used in compiling the report.)

Public Sector Financial Management H. M. Coombs and D. E. Jenkins. Chapman &; Hall, London (1991). x + 294 pp. £14.95. ISBN 0 412 38550 3.     

Public education spending in a globalized world:

This paper studies the effect of globalization on public expenditures allocated to different stages of education. First, we derive theoretically that globalization’s influence on education expenditures depends on the type of government. For benevolent governments, the model suggests that expenditures for higher education will increase and expenditures for basic education will decline with deepening economic integration. For Leviathan governments, on the other hand, the effects of globalization on public education spending cannot be unambiguously predicted. In the second part of the paper, we empirically analyze globalization’s influence on primary, secondary, and tertiary education expenditures with panel data covering 104 countries over the 1992–2006 period. The results indicate that globalization has led in both industrialized and developing countries to more spending for secondary and tertiary and to less spending for primary education.     

New accounts: Towards a reframing of social accounting

This paper is a speculative and exploratory essay on the emerging field of social accounting. In essence, the paper explores whether the fact that most social accounting has, traditionally at any rate, being promulgated by accountants might be a partial explanation for its self-disciplining limitations and, arguably, its weak inroads into discourse and practice. Through the lens of Erik Olin Wright's work, the paper reconsiders the potential of the social accounting project(s) and argues for the importance of accounts as a means of interstitial transformation as a complement to the traditional privileging of accounts directed towards symbiotic transformations.     

The microeconomics of deposit rate ceilings : Inferences for NOW accounts and interest on checking accounts

This paper examines the specific set of market and product conditions which could support the theoretical argument, widely held among commercial bankers, that deposit rate ceilings, especially the prohibition of interest on checking accounts, are beneficial to bank earnings. The analysis points to the conclusion that ceilings are beneficial to bankers only if (a) bank deposits are homogeneous goods, (b) deposit markets are non-collusive oligopsonies, and (c) the regulated ceiling rate is not set too far below the ceiling that would exist in an unregulated monopsony. Empirical studies done elsewhere seem to indicate that none of these three necessary conditions are normally met in the marketplace. The NOW account, which is really an interest-bearing checking account, also extends demand deposit powers to non-bank thrift institutions. Under our analysis, the NOW account adds to the number of competitors offering checking-type deposits, driving up the cost of funds, other things equal, to the oligopsonist banker — perhaps by enough to offset the cost-reducing effect of repeal of the interest prohibition.     

浅议债券交易类帐户考核指标体系的设立

该文认为目前国内金融机构债券交易类帐户设置的考核指标体系普遍存在不全面或者不合理的问题;外资金融机构债券交易类帐户的考核方法虽然有值得借鉴的地方,但仍需要结合我国的实际情况辩证地吸收,才能制定出适合国情而又合理有效的考核方法。最后文章针对不同类型、不同考核要求的金融机构分别提出相应可行的考核办法。     

夹层融资:一种灵活的融资方式

夹层融资(Mezzanine Financing)是一种回报和风险处于风险较高的股权融资和风险较低的优先债务之间的融资方式,它处于公司资本结构的中层,因而得名."夹层"的概念源自华尔街,原指介于投资级债券与垃圾债券之间的债券等级,后逐渐演变到公司财务中,指介于股权与优先债权之间的投资形式.     

Health care fraud: a primer on the schemes and the tools to fight health care fraud

As the national debate over health care reform moves forward, one issue with which policy makers must grapple is the percentage of health care dollars lost to fraud and abuse. The General Accounting Office estimates that as much as ten percent of total health care dollars are lost to the inappropriate, and in some cases criminal, practices of health care providers. This article discusses the characteristics of the health care industry that make it particularly susceptible to abuse and then reviews the efforts by the Office of Inspector General, Department of Health and Human Services, to deter and punish those who defraud the federal health care programs.     

Public and private spending for environmental protection: a cross‐country policy analysis

OECD data are used to investigate public and private environmental expenditures and, although they are more complete and consistent than other datasets, they are still poor. This is important in the context of measuring the benefits of environmental protection, when little is really known about its actual costs. Despite these limitations, this study demonstrates that there has been no shift towards an increasing private sector burden relative to the public sector over time. The paper also finds little evidence to show that environmental expenditures negatively impact on economic growth, although there is inconsistency between the ‘no effects’ finding of the competitiveness literature and the ‘negative effects’ finding of most of the productivity literature. Finally, the elasticity of expenditure with respect to income is found to be 1.2, lower than would be expected if the ‘environmental demand effect’ is significant in explaining the downward slope of the environmental Kuznets curve.     

Defining spending reviews: a proposal for a taxonomy,with applications to Italy and the UK

After the 2008 global financial crisis, many governments introduced spending reviews (SRs). The paper provides a valuable definition of the concept of the SR by proposing a taxonomy of the main organizational and methodological aspects involved in the SR process. The paper identifies two different SR models, which feature alternative approaches to cutting back spending. The authors highlight some important considerations when looking to make sustainable and sensible cuts in spending.     

Health care fraud control: understanding the challenge

The study summarized here examined the fraud-control apparatus currently used within the health care industry, and assessed the assumptions, policies, and systems that constitute the industry's current approaches to fraud control. The objective was to develop a better understanding of the strengths and weaknesses of existing approaches. Since 1992, with Health Care Reform under debate, the issue of health care fraud has received unprecedented legislative and administrative attention. Nevertheless disturbing and somewhat surprising lapses in control persist. The fraud problem shows no sign of abatement. Background knowledge of the health care fraud issue was derived from literature searches and from four years of interaction with concerned public and private organizations. Fraud control systems, policies and procedures were examined in detail at eight field sites, representing a cross section of private, not-for-profit, and public programs. The National Institute of Justice funded the study under grant number #94-IJ-CX-K004. This study finds the science of fraud control scarcely developed and little understood by industry practitioners. Academia has paid little attention to the problem. Within the health care industry, the task of fraud control is complicated by the social acceptability of insurers as targets, the invisible nature of most fraud schemes, the separation between administrative budgets and "funds", the respectability of the health care profession, and the absence of clear distinctions between criminal fraud and other forms of abuse. Existing approaches to control are more effective in controlling billing errors, overutilization, medical unorthodoxy, and other forms of abuse than in dealing with criminal fraud. The complexity of the fraud control challenge is seriously underestimated by the health care industry Existing control systems are not targeted on criminal fraud and cannot be expected to control it. Scientific measurement of the fraud problem is a prerequisite effective control.     

Health care consumerism: engaging the real buyers--employees

Many employers have begun moving toward health care consumerism strategies designed to encourage employees to take more responsibility for their health care and the cost of that care. Recent surveys suggest ways employers can ensure their consumerism strategies succeed in engaging employees and, ultimately, encourage employees to change their behavior. This article describes what those surveys reveal about employer and employee perspectives on consumerism and suggests steps employers can take to align their interests with those of their employees in order to manage the demand for and use of health care.     

Health care reform and reform for health: creating a health system for communities in the 21st century

If we are to improve the health of the population and reduce the inequalities in health that plague our communities and our planet, we will have to give greater attention to the determinants of health. The reform of the health care system, necessary though it is, will never be sufficient; we need to reform our whole society and in particular to focus on human rather than economic development. At the community level we need to create healthy communities that are “health-creating systems” of environmental, social and human development, as well as health care systems that focus first on improving and maintaining health. Such a “bottom-down” health care system would see the hospital become once again the place of last resort (but still a potentially important partner in creating healthier communities) and would focus instead on how to provide health promotion and health care from the household level up.     

Health care : Planning, policies, and incentives

In theory, health planning is a detailed and rational corporate attempt to handle broad social problems. But in practice it tends to be incremental—an institutionalised bargaining system which too often neglects the larger issues in favour of marginal adjustments. Mixed scanning, the detailed examination of selected, feasible proposals, combines the best features from theory and practice. Implementation still depends on the recognition of powerful interest groups (eg doctors, managers) and the inclusion of incentives to redirect their activities. Better planning does not guarantee better health—the influence of lifestyle and environment must not be neglected.