Compliance & Policy
Legal/Compliance Year In Review
The election cycle and an increasingly empowered federal judiciary have resulted in a fair amount of activity on the regulatory front over the last year.
October 6, 2024

Key Takeaways

  • The election cycle and an increasingly empowered federal judiciary have resulted in a fair amount of activity on the regulatory front over the last year.
  • Major regulatory actions include areas such as accommodation protections for pregnant workers, retirement planning, and banning non-compete agreements.
  • The most impactful decision from the Supreme Court from a business perspective may be Loper Bright Enterprises v. Raimondo, which overturned Chevron and may result in a dramatically different regulatory framework than what we’ve seen over the last 40 years.

ARTICLE | Legal/Compliance Year In Review

The 2024/2025 term for the US Supreme begins the first Monday in October. 

In the next installment of this series, we’ll cover some of the major cases that the Court is expected to hear throughout the coming term, as well as how the potential range of decisions may affect some of the issues most relevant to business, labor, insurance, and workforce management. 

In the meantime, however, on the final day of the 2023/2024 term, we thought it might be beneficial to take a look back at some of the legal and regulatory issues that have shaped these topics over the last year - including Supreme Court rulings, agency rules, and beyond -  as preface for the arguments that will be unfolding before the Supreme Court from tomorrow through April with decisions handed down next summer. 

What follows is a collection and summary of some of the most relevant entries over the last year into our Legal/Compliance Roundup blog series, which are posted monthly here

Noteworthy Judicial Cases & Developments

Non-Competes Banned, Then Ban Put On Hold

The FTC banned non-compete agreements last year, but shortly thereafter a federal judge in Texas issued a ruling that currently applies nationwide and overturns the FTC’s rule banning non-compete agreements.

The judge indicated that the ban is too broad and that the FTC is limited to challenging unfair competition on a case-by-case basis but lacks the authority to issue a blanket ban and the evidentiary basis to justify such a ban were it permitted.

The FTC has until the latter part of October to appeal the decision, but the non-compete ban will likely remain unenforceable in the meantime.

That said, other cases addressing the non-compete ban are working their way through other federal districts, and should one of those cases rule differently, these issues may get fast-tracked for resolution by the US Supreme Court.

Federal Tip Credit Rule Is Simplified

On August 23, 2024, the Fifth Circuit Court of Appeals overruled the Department of Labor’s 80/20/30 rule for tip credits.

As a result, employers no longer need to distinguish between tip-producing and tip-supporting work when calculating tip credits.

It is important to note that this ruling only applies to the federal DOL rule, and does not affect any state or local labor rules regarding minimum wage and/or tip credits.

You can read more about the 80/20/30 rule being vacated here

Supreme Court Sides With Employee In Title VII Discrimination Interpretation

The case at issue involved a male employee replacing a female employee who was transferred to a new department where her pay and title remained the same but her scope of duties, schedule, and some job perks did not.

The Court held that a job transfer did not need to have caused ‘significant’ harm to an employee in order for the employer to have violated Title VII.

Supreme Court Ends Chevron Deference

The Supreme Court parted with precedent and abandoned the Chevron deference doctrine that has guided regulatory rulemaking for the last 40 years. 

When Federal agencies enforce the laws that Congress writes, they often have to make judgment calls in interpreting the statutory language about how to practically go about accomplishing the intentions of the law. 

For the last 40 years, those agencies have relied on Supreme Court precedent requiring courts to defer to the agencies’ judgment calls in interpreting how to enforce federal statutes so long as there was some ambiguity about what the statute intended that the agencies had interpreted in a reasonable manner. 

That deference was especially relied upon when agencies were interpreting federal laws that were written a long time ago, like the Fair Labor Standards Act, which was written in the 1930s when working conditions, and American life for that matter, were very different.

With the Supreme Court’s latest decisions in the cases of Relentless v. Department of Commerce and Loper Bright Enterprises v. Raimondo, however, that deference previously afforded to federal regulators in interpreting ambiguous federal laws and filling in the gaps will now be shifted to the federal courts.

While the rulings will not overturn all previous decisions that have been based on the deference previously afforded executive agencies, of which there are thousands, those previous challenges are now ripe to be litigated, only now the government will have to justify their interpretation of the statute and their resulting authority to take a given action with persuasive reasoning, which will likely prove to be a much harder standard for federal regulators to meet.

It may take some time before major effects from this decision start being felt, but the regulatory landscape will likely look very different in the next 5 years than it has for the past 30, and at the very least there is likely to be significant confusion in the meantime.

Noteworthy Executive & Regulatory Developments

Federal Contractor Wage Determination

Back in October of 2023, The US Department of Labor began implementing a rule that updated the Davis-Bacon Act in a comprehensive way for the first time in more than 4 decades.

According to the updated regulation, if a given federal construction contract is meant to include a wage-determination calculation but that calculation is omitted within the contract, contractors are now required to reimburse any employees who may be negatively affected by the omission, and the federal agency responsible for contracting must reimburse the contractor accordingly.

You can read more about the new rule here.

Secure Act 2.0 

The Secure Act 2.0 took effect at the beginning year, ushering in some sweeping changes to retirement planning and savings administration in the US, including: 

  • Mandatory 401k Enrollment: Most companies with more than 10 employees that have been in operation for at least 3 years will be required to automatically enroll employees into their 401k plan with between 3% and 10% automatic contributions. There’s also a tax credit available for many companies to cover the additional administrative burden of automatic enrollment.
  • Starter 401ks With No Employer Match Requirement: The expense of matching employee contributions has deprived many employees over the years of the benefits of having a 401k account even in the absence of matching employer contributions, which should no longer be an issue under the new law. 
  • Increased Catch-up Contributions: The amount of annual contributions that employees can begin putting into their 401ks at age 50 is being increased by 50% from $6,500 to $10,000, and that limit is now indexed to inflation to ensure it keeps up with the cost of living.
  • Increased Emergency Savings Account Flexibility: Despite more than 4 in 10 US workers expressing a desire to be automatically enrolled in an emergency savings account program through their employer, only about 1 in 10 employers offered such an opportunity as of 2022. The Secure Act increases the flexibility and ease with which employers can now offer such accounts via withholding as much as 3% of opting-in employees’ paychecks up to $2,500 to be placed into said emergency savings accounts, from which employees can then withdraw their money untaxed up to four times a year with no penalties whatsoever. 

Defining Employees vs. Independent Contractors

In determining whether a given worker should be classified as an employee or as an independent contractor, as of March 11, 2024, the Department of Labor effectively reverted back to ‘the economic reality’ test.

The economic reality test takes  into account the following 6 factors when evaluating workers' employment status and classification:

  • Whether it is possible for the worker to either profit or lose money as a result of the arrangement;
  • What investments have the employer and worker each made toward completing the work;
  • Is the working relationship a more permanent arrangement or more temporary;
  • How much control does the employer exert over the worker’s process;
  • How crucial is the worker’s output to the employer’s business; and
  • The levels of skill and initiative possessed by the worker.

You can find more information from the DOL on determining employee and contractor status here.

Further, the Internal Revenue Service released an information letter that clarifies the primary factors that determine whether a given worker should be properly classified as an employee or as an independent contractor for tax purposes. 

When making this determination, the main consideration is how much control and autonomy does the worker have in doing the job, which can be analyzed in light of three primary factors: 

  • Behavioral Control: The main question to ask when assessing whether a worker is subject to the behavioral controls of a supervisor and should therefore rightly be classified as an employee is whether or not the recipient of the worker’s services has the right to control or direct how the work is done. Providing the worker with training or instructions on how to complete the required task and/or providing an evaluation of the worker’s performance or an evaluation of the work itself upon completion might all be indicative that the worker should be classified as an employee.
  • Financial Control: Whether the recipient of the worker’s services has control over the financial aspects of the job is another important consideration when assessing employment status. For example, some good questions to ask are how was the method of paying the worker determined, has the worker made a significant investment in order to complete the work (as well as if/how reimbursements were involved), and is there an opportunity for the worker to profit or incur a net loss as a result of their work. 
  • Relationship Between Worker and Work Recipient: The relationship between the parties is not only determined by their agreements and contracts but also by their other actions with respect both to the work and to each other. How each party represents the nature of their relationship to others - including other employees and/or contractors -  can also factor into the determination, in addition to whether or not the worker offers similar services more broadly to the market in general.

The IRS also noted that while it can not make determinations as to whether or not a prospective employee would properly be classified as an employee or independent contractor, the IRS will issue a letter ruling on prior employment status which can then be applied to all other workers engaged under substantially similar circumstances. 

Employers Who Reject Job Applicants Due to Credit Reports Must Provide Credit Rating Agency Info 

On March 20, 2024, the Consumer Protection Bureau began enforcing its rule requiring Employers that reject job applicants due to information obtained through a credit report to provide the rejected applicant with information about the credit reporting agency from which the report was obtained, including name, address, and telephone number.

This rule, which went into effect in April of 2023, is an update to 2018’s Summary of Your Rights Under The Fair Credit Reporting Act.

You can read more about the new rule, its impact, and enforcement here

Pregnant Workers Fairness Act

The final regulations in support of the Pregnant Workers Fairness Act (PWFA) went into effect on June 18, 2024.

Some of the accommodations that the final rule presumes to be reasonable absent an especially significant justification for denying the accommodation, including allowing pregnant employees to: 

  • Take breaks to eat and drink;
  • Keep water nearby;
  • Use the restroom as needed; and
  • Sit or stand as needed

The rule also places a number of limitations on when employers can require supporting documentation in order for employees to request or receive accommodations under the rule, allowing employers to request such documentation only when it is reasonable under the circumstances.

The final rule also requires accommodations for medical appointments and defines certain terms broadly enough to require accommodations for medical care involving fertility, contraception, and situations when pregnancies abruptly end whether willfully or not. 

You can find the final rule here.

OSHA Hazardous Industry Electronic Submission Requirements

In addition to submitting form 300A, firms that have at least 100 employees and operate in industries that have been designated as hazardous must electronically submit data from their injury and illness logs.

You can find additional information about OSHA electronic submission requirements here.

New Notice Requirements For Enrolling and Re-enrolling Certain Policies

A new federal rule addressing short-term limited duration insurance and independent non-coordinated benefits like fixed indemnity and specific-disease or illness policies was published on April 3, 2024. 

The rule is the result of a joint effort between several federal agencies and includes a requirement that the first page of any materials marketing application enrollment and re-enrollment must include notice to potential and current policyholders that the policy does not provide comprehensive benefits. 

This notice requirement takes effect for applicable policies issued or renewed after January 1, 2025. 

You can find that new rule here

New FLSA Minimum Wage Poster

The Department of Labor released a new iteration of its Employee Rights Under Fair Labor And Standards Act Poster, which employers are required to display. 

You can find that FLSA poster here.

Overtime/Minimum Wage Exemption Threshold Increased

The Department of Labor increased the pay thresholds for Executive, Administrative, and Professional employees (EAP) including salaried computer workers, and Highly Compensated Employees (HCEs) to remain exempt from federal minimum wage and overtime laws.

On July 1, 2024, the EAP exemption threshold increased from $35,568 to $43,888. That threshold number is also set to rise again the following year on January 1, 2025, when the EAP exemption minimum annual salary rises to $58,656, after which automatic increases will begin July 1, 2027, and every three years after that. 

The increase in the minimum HEC exemption threshold follows a similar path, with the first increase up to $132,964 beginning today, before increasing again to $151,164 on January 1, 2025, and every three years after beginning on July 1, 2027. 

The overtime and minimum wage exemption threshold for computer workers that are paid hourly remains at $27.63 per hour, while the threshold for computer workers paid on a salaried basis is linked with the EAP minimum. 

Barring any unforeseen changes or court-initiated interventions, the first exemption-threshold increases are set to take effect in one month. 

In preparation, employers and human resources professionals may want to identify all the employees who may be affected and assess whether to increase their pay in accordance with the rate increases or whether it is better to begin paying them overtime (and minimum wage if applicable) instead. 

You can find more about these exemption threshold increases here

HSA & HDHP Inflation Adjustments Announced

The IRS announced the 2025 adjustments to health savings accounts and high deductible health plans:

The self-coverage limit increased by $150 to $4,300 while the family coverage limit increased by $250 to $8,550.

  • There was a $50 dollar increase on the minimum annual HDHP deductible, bringing it up to $1,650, while the family coverage deductible rose by $100 up to $3,300. 
  • The maximum yearly out-of-pocket expenses for single coverage HDHPs, including premiums, deductibles, and other related expenses) rose by $250, up to $8,300, while the family coverage equivalent increased by $500, up to $16,600

You can read more about the adjustments here

ACA Affordability Threshold Increase

Large employers with an average of 50 or more full-time employees or the equivalent are required to either offer employees minimal, affordable health coverage or they must pay a penalty in the event that an employee secures health coverage with a premium tax credit via the exchanges. 

In 2025, the threshold for what qualifies as affordable coverage increases from 8.39% to 9.02%, which means that an employee’s required contribution to the plan can be no more than 9.02% of their salary in order for the plan to be considered affordable, which allows employers to avoid potentially paying the penalty. 

You can read more about the affordability threshold here.

Noteworthy Policy Developments

Universal Paid Sick Leave Is Overdue

A recent piece from the Center for American Progress makes the case that universal paid sick leave leads to better outcomes for employees and employers alike.

The authors argue that a federal policy is necessary to supersede the patchwork set of rules and regulations on state and local levels in order to provide a more equitable competitive landscape among companies doing business all across the country.

Further, the benefits of universal paid sick leave wouldn’t stop with employers and their families, or even with the companies themselves who can expect to see increased productivity and reduced turnover as a result, but even public health and the US economy as a whole would see net gains from the enactment of universal paid sick leave legislation.

You can find the relevant data and analysis here

Workplace Psychological Abuse Regulations

Supporters want to see the Workplace Psychological Safety Act become the new template across the country for how psychological abuse is reported, managed, and prevented at work.

Unlike many current laws addressing workplace harassment, the Workplace Psychological Safety Act has no requirement that ties the bullying behavior to protected status on the part of the victim, thus removing one of the major obstacles to complaint filing and dispute resolution. 

The model legislation requires employers to: 

  • Promptly investigate complaints of workplace psychological abuse;
  • Implement policies aimed at combating abuse; and
  • Submit diversity metrics and abuse reports quarterly, which will then be made available via public search in an effort to increase transparency and incentivize compliance.

The model legislation also enables victims of on-the-job psychological abuse to:

  • Request internal investigations by their employers in order to circumvent some of the red tape that can sometimes bog down investigations conducted by state agencies; and
  • Sue employers for failing to adequately address the abuse in accordance with the law. 

While the Act has yet to be enacted by any state legislature, the momentum seems to be building, with statehouse support in Rhode Island, Massachusetts, and New York.

Pre-Tax Deduction Primer

Forbes Advisor published a helpful piece that breaks down some of the key aspects involving pre-tax deductions, what is permissible, what isn’t, and how they work.

The core idea behind pre-tax deductions, of course, is that they can benefit employees directly in some way while also reducing their taxable income. 

Some examples of pre-tax deductions include contributions toward health plans, insurance coverage, dependent care, and transportation benefits, all of which can be taken from employees’ gross income prior to calculating any taxes.

It’s important to keep an eye on the compliance issues involved, however, given that many types of pre-tax deductions are capped, including some retirement accounts, FSAs, and HSAs. Also, there are eligibility requirements, specific rules for specific plans, and limitations that apply exclusively to highly-compensated employees that must all be adhered to when administering these types of programs, as well. 

You can read more about the issues involving pre-tax deductions here

Mployer’s Take

For the Executive Agencies, it was business as usual for the most part, but with the greater sense of urgency that comes in the final year of a presidential term when the future of agency leadership and policy prioritization is uncertain.

The implementation of the Pregnant Workers Fairness Act and the Secure Act 2.0 were certainly significant, but perhaps the largest and most ambitious regulatory change was the Federal Trade Commission’s ban on non-compete agreements, which has since been put on hold by a federal judge as the legality of the plan is adjudicated and makes its way through the court system.

That system and the process of regulations getting challenged in federal court is likely to see a lot more activity in the coming years, as well, in the wake of the Supreme Court’s overturning of the Chevron doctrine, which puts significantly more power in the hands of judges in terms of evaluating executive agency action.

While the impacts of the Supreme Court’s decision to abandon Chevron precedent will not be immediate, the next several years may bring with them substantial upheaval of the existing regulatory framework that has been established over the last 40 years. 

And although that kind of subtle, yet ground-shifting impact will be tough to match, in the next installment we’ll highlight some of the cases set to be heard and decided by the Supreme Court in the new term beginning this week, and given the Court’s activity over the last couple of years, some of those cases may be primed to have comparably significant impacts as to how business is conducted in the US, as well.

Economy
The Market Employment Summary for December 2023
Each month, Mployer breaks down the Bureau of Labor Statistics’ most recent State Employment and Unemployment Summary to highlight some employment trends across various markets. This is an overview of December’s report.
December 23, 2023

Editor's Note: This report is based on survey data from November 2023 that was published in December 2023. This is the most recent data available. (Source: Bureau of Labor Statistics)

While the US employment rate fell by a couple tenths of a point down to 3.7% last month, that reduction was spread so thinly across the country that no single state saw a meaningful reduction in its unemployment rate.

In effect, 38 states plus Washington DC saw their unemployment rates hold essentially steady, while 12 states actually registered an increase in unemployment statewide.

In total, 19 states have a lower unemployment rate than the US average of 3.7%, while 5 states and Washington DC have higher unemployment rates, and the remaining 26 states are essentially tied with the national average.

Over the last year, 20 states have seen their jobless rates fall, while 15 states saw no meaningful change in unemployment over the year, and the remaining 15 states plus Washington DC saw their unemployment rates rise higher than where they were at this time last year.

Below is the breakdown of the Bureau of Labor Statistics’ (BLS) market employment summary for December 2023.

States With the Highest Unemployment Rates

Nevada and Washington DC continue to be the only ‘states’ with unemployment rates of 5% or higher - at 5.4% and 5.0%, respectively. Neither state’s unemployment rate saw any movement over the last month.

California (4.9%), Illinois( 4.7%), New Jersey (4.7%), and New York (4.3%) were the only other states that had unemployment rates above the US average of 3.7%.



Unemployment rates were generally more stable last month than the month prior, with 7 states reporting an unemployment rate increase of 0.2% (Arkansas, Maine, Montana, New Hampshire, Tennessee, Virginia, Washington), while 5 states saw an unemployment rate increase of 0.1% (Alabama, California, Massachusetts, Oklahoma, and Vermont). 

20 states in total currently have unemployment rates that are higher than they were a year ago, led by New Jersey at plus 1.4%, followed by California and Washington DC, both at plus 0.8%. 

States With The Lowest Unemployment Rates

Maryland recorded the lowest unemployment rate in the US for the fourth straight month despite ticking up one-tenth of a point to 1.8%.


After Maryland, Nebraska came in at 1.9%, South Dakota at 2.0%, Vermont at 2.1%, Nebraska at 2.3%, and Alabama at 2.4%, followed by Florida, Hawaii, Kansas, Massachusetts, Rhode Island, and Virginia, all at 2.9%. 

No states saw a reduction in its unemployment rate over the month, but 20 states have seen an unemployment rate reduction over the past year, led by Maryland at minus 1.3%, followed by Oregon at minus 1.2%, and Pennsylvania and Vermont, which both saw their unemployment rates drop by 1% in the last 12 months.

States With New Job Losses

No states saw statistically significant job losses last month.

States With New Job Gains

Despite earlier economic reports indicating that nearly 200 thousand jobs were added last month, only 3 states saw significant gains in their payroll entries, amounting to only about one quarter of the total number of jobs initially reported - Florida with about 31 thousand new jobs, Alabama with about 13 thousand new jobs, and Maine with about 4 thousand new jobs added last month.

Alabama and Maine’s job additions both equate to a percentage increase of 0.6% while the new jobs in Florida amount to an increase of 0.3%.

Over the past 12 months, 28 states in total have seen meaningful growth in jobs figures, but only 3 states have seen their payroll figures increase by 3% or more during that time - Nevada at plus 3.5%, Idaho at plus 3.1%, and Texas at plus 3.0%. 

Following Texas in annual growth as a percentage, Wyoming came in at 2.9%, then Florida at 2.8%, South Carolina at 2.7%, Kentucky at 2.6%, South Dakota at 2.5%, New Mexico at 2.2%, and Georgia, North Carolina, Pennsylvania, and Utah at 3.1% each.

Mployer's Take: 

For three consecutive meetings, the Federal Reserve has chosen not to raise interest rates.

Further, the Fed has signaled that it intends to reduce interest rates 3 times next year assuming that current trends and forecasts come to fruition, which is a strong testament to the confidence they have that inflation is under control despite still hovering around a point above their 2% target. 

The markets have been at or approaching record highs for nearly 2 months in a row, consumer spending is rising, mortgage rates are falling, and the Fed’s soft landing - in which inflation is reined in without causing a recession - seems as likely as ever.

While the possibility of some degree of economic downturn in 2024 still seems probable if for no other reason than an economy this strong is impossible to sustain indefinitely, the duration and severity of any downturn we experience in the short term is looking to be shorter and less intense with seemingly each new economic report.

Looking for more exclusive content? Check out the Mployer blog.

Workforce Management
Is ‘Coffee Badging’ The Next Evolution of ‘Quiet Quitting’?
‘Quiet quitting’ is to work productivity what ‘Coffee badging’ is to work presence.
December 22, 2023

‘Quiet quitting’ is to work productivity what ‘Coffee badging’ is to work presence.

While doing essentially the bare minimum at work is by no means a new phenomenon, the post-pandemic years gave quiet quitting a name that appears to have stuck.

The actual practice of quiet quitting seems to have more than just a toehold across the workforce, as well, with at least 50% of workers admitting to being quiet quitters themselves.

In light of the the impact that the pandemic has had and continues to have, it is understandable why so many people reevaluated their relationship with their employer and their resulting obligations in the midst of such a profound disruption to their and most everyone's lives - both on a macro scale with regard to the economy and society in general, but also on a human scale as people as individuals and households navigated the changes to their routines. 

Coffee badging, while a somewhat more recent phenomenon than quiet quitting, seems to also grow in part from a similar disruption and reevaluation cycle, except the disruption catalyzing coffee badging isn’t the result of being required to stay at home and work from there, but instead by being forced back to the office. 

The current routine being disrupted is the now the entrenched remote/hybrid work schedule that is being challenged via the back-to-office pushes that many organizations have conducted with mixed results over the last year, and coffee badging is the pushback to those updated work requirements.

What is ‘Coffee Badging’?

Coffee badging in the literal sense refers to an employee that uses their identification card to enter work premises just to have coffee before leaving again without staying for a full day of work, but the phrase applies more broadly to any situation where an employee makes an appearance on-site for less time than they are supposed to, primarily for the sake of appearances.

The goal with coffee badging seems to be at worst giving the impression that one is complying with in-office work commitment expectations without actually fulfilling those expectations, and at best taking advantage of uncertainties and gray areas that have arisen as companies continue to experiment and adapt to a seemingly ever-shifting new normal when it comes to work scheduling.

Whereas quiet quitting typically involves employees doing that which is explicitly required of them and no more, however, coffee badging is often more explicitly insubordinate in practice given that many ‘coffee badgers’ are likely knowingly falling short when it comes to the amount of time they are spending on-site.

Who is ‘Coffee Badging’?

At least one recent survey indicates that coffee badging has become even more widespread than quiet quitting, with 58% of hybrid workers claiming they have participated in coffee badging while another 8% reported that they had not yet done so but would like to give coffee badging a try at some point.

And the practice isn’t limited to those workers occupying the lower rungs of the ladder, for that matter, with an even larger percentage of managers (64%) claiming that they have personally coffee badged already while another 6% of managers intend to do so at some point in the future.

How Companies Can Better Manage ‘Coffee Badging’

While noting that coffee badging is but one of many obstacles and hurdles that employers must overcome when competing for talent in a competitive labor market, one managing director for HR specialists Insperity recommends addressing coffee badging via:

  • Maximize Schedule Flexibility so that employees can continue tailoring their work schedule to better meet the requirements of their lives away from work while also providing some additional structure to better facilitate collaboration and team interaction when needed;
  • Offer perks that encourage non-work related interaction both on and off-site, such as parties, delivered meals, restaurant tabs, etc. for employees to socialize and to incentivize employee attendance and open communication; and
  • Determine The Cause behind the coffee-badging, which can often be a symptom of burnout among overworked employees who may just be attempting to claw back time and some control over their working conditions however they can. 

You can read more about coffee badging and how best to handle it here.

Health Insurance
Will 2024 Be The Tipping Point For Value-Based Care?
Currently, more than half (54%) of all healthcare spending in the private sector continues to operate under the increasingly antiquated fee-for-service model, but that number is likely going to shrink quickly as consensus on the benefits of value-based care grows. 
December 19, 2023

It has long been widely reported that relative to the healthcare systems of our peer countries, the US healthcare system doesn’t get much bang for its buck, with annual health expenditures in the US now exceeding $4 trillion dollars, 90% of which supports patients who have either mental health problems or other chronic conditions. 

Given this environment, there’s been a growing awareness that the current fee-for-service (FFS) model that serves as the underlying structure of our current healthcare system is in need of an update, and Value-based Care (VBC) has long been touted as the next evolution of US healthcare. That said, the scale of overhaul required is much more easily imagined than accomplished.

On the government-side of the equation, VBC is making significant inroads already, with the Centers for Medicare and Medicaid Services setting the year 2030 as the target date for getting nearly all Medicare and Medicaid patients enrolled in value-based care programs. 

The problem of rising healthcare costs isn’t an issue limited to the public sector, of course, with healthcare expenditures expected to climb by 8.5% - or $15 thousand per employee - in 2024. 

Further, US employers are the source of health insurance for nearly 6 out of 10 (59%) Americans under the age of 65 - more than half of which through self-insurance programs - which means that transitioning the entire US healthcare system to value-based care will require significant leadership and participation from employers nationwide.

Why Employers Should Help Facilitate The Transition To Value-Based Care

  • Cost Savings: McKinsey estimates that companies who adopt a value-based care approach can save between 3% and 20% on healthcare spending. On the public side, value-based care programs have saved Medicare billions -including $1.8 billion in 2022 -which was the 6th year in a row that VBC has resulted in a net reduction in Medicare expenses, including fewer hospital admissions and readmissions. 
  • Improved Care: 59% of employers reported improved outcomes as among the results achieved via utilizing a value-based care model, and 96% of payers agree that value-based care will lead to better outcomes for patients.
  • Higher Satisfaction: Given that the quality of healthcare an employee receives is often seen as a reflection of the quality of the employee benefits offerings and the employment opportunity more generally, higher rates of satisfaction - via better chronic illness management, for example - can have meaningful impacts on both employee productivity and retention. 

It’s also important to note that, in order to achieve the desired results that can be expected as a result of utilizing value-based care, adopting an alternative payment model alone is insufficient without the accompanying patient-centric focus and collaborative approach that emphasizes preventative care and outcome-linked provider pay/accountability.

Currently, more than half (54%) of all healthcare spending in the private sector continues to operate under increasingly antiquated fee-for-service models, but that number is likely to shrink quickly as the consensus on the benefits of value-based care continues to grow. 

You can read more about value-based care here.

Workforce Management
Top Workplace Trends Of 2023 
Bonuses, work flexibility, and the normalization of a former office taboo highlight the top workplace trends of 2023 heading into 2024.
December 15, 2023

This recent survey from Robert Half highlights some of the major trends that we’ve seen develop and evolve in the workplace over the past year, which are primed to continue shaping the landscape as we transition into 2024.

  • Bonuses Are Back: Survey responses indicate that nearly all employers will be awarding end-of-year bonuses this year (96%). More than half (54%) claim that the bonuses they distribute this year will be bigger than the bonuses they distributed at the end of 2022, while 37% will distribute bonuses of approximately the same amount as last year. 

  • Work Flexibility Is A Growing Priority: More than 6 out of 10 workers (62%) claimed they would be willing to forgo leaving their current job for a higher paying one at another company if their current job offered greater flexibility. While salary has long been the dominant factor driving job-related decision-making, the survey authors expect work flexibility to become a close second in the coming year. 

  • Workers Are Optimistic About Generative AI: 2023 will likely be looked upon in retrospect as the year that generative AI hit its first popular tipping point, and while there is great uncertainty about how AI will continue to change over time as well as how we will adapt to and incorporate those changes, more than 4 out of 10 workers (41%) believe that generative AI will have a net positive benefit on their work output and career.

  • Burnout Is High and Requires Targeted Support: Nearly half of all tech professionals (48%) and almost one third of accounting and finance professionals (30%) report feeling burned out and in need of additional help - whether via contract workers or additional hires - in order to meet the demands of the workload. 

  • The Taboo Against Discussing Salaries Amongst Workers Is Dead: While 42% of workers in total reported discussing their salary with coworkers at some point over the previous 12 months, that number nearly doubled (82%) among Gen-Z, indicating the trend is not likely to reverse course at any point in the near future, which furthers the imperative of maximizing both pay transparency and pay equity in 2024.

Much of 2023 was defined by a surprisingly resilient economy and job market in the face of relatively high interest rates, which certainly influenced the trends outlined above, and while there remains considerable uncertainty about how the economic and technological climates will continue shifting in the year ahead, bigger bonuses, greater worker flexibility, additional generative AI utilization, targeted burnout response, and the end of salary secrecy are trends that all seem poised to continue shaping the workplace environment in 2024, as well. 

You can read more about this topic here.

Important Holidays
US Employers Guide to Diwali (Deepavali)
The date varies, but Diwali usually takes place in October or November. Also known as the Festival of Lights, Diwali is one of the most significant Hindu festivals. It symbolizes the victory of light over darkness and good over evil. People celebrate with decorations, diyas (oil lamps), fireworks, sweets, and exchanging gifts.
December 14, 2023

Diwali, also known as Deepavali, is one of the most widely celebrated festivals in India and holds great cultural significance. As a US-based employer, understanding and recognizing Diwali can foster a more inclusive workplace environment and strengthen relationships with employees of Indian origin. This guide provides insights into specific dates, the level of importance, background on the holiday, cultural practices, ways to celebrate as a US employer, and important legal and compliance considerations.

Specific Dates to Keep in Mind

Diwali is a floating festival, and its date is determined by the Hindu lunar calendar. It usually falls between October and November. The main day, known as Diwali or Deepavali, is celebrated on the third day of the festival.

Level of Importance

Diwali is of high importance in India, not only for Hindus but also for Jains, Sikhs, and some Buddhists. It is a time for family gatherings, festive activities, and spiritual reflection.

Background on the Holiday

Diwali, the Festival of Lights, signifies the triumph of light over darkness and good over evil. The celebration involves the lighting of oil lamps or diyas, decorating homes, exchanging gifts, and enjoying festive meals.

Specific Cultural Practices

  • Lighting of Diyas: Diyas are lit to symbolize the victory of light over darkness and knowledge over ignorance.
  • Rangoli: Intricate designs made on the floor with colored powders or flowers.
  • Fireworks: Fireworks are a traditional part of Diwali celebrations, symbolizing the victory of good over evil.

Specific Items

While there are no strict rules about items to avoid, it's common for people to wear new or traditional clothing during Diwali.

Specific Foods

Diwali is associated with a variety of special sweets and savory snacks. Traditional Indian sweets like laddoos, barfis, and jalebis are often prepared and shared.

Celebrating Diwali as a US Employer

Understanding Diwali allows US employers to foster a sense of inclusion. Here's how:

  • Flexible Scheduling: Consider allowing flexible work hours or time off to accommodate Diwali celebrations.
  • Virtual Celebrations: Host virtual events or encourage employees to share their Diwali experiences and traditions.

Communicating Diwali to Your Teams

Subject: Celebrating Diwali - Embracing the Festival of Lights

Dear [Team],

As we approach the joyous festival of Diwali, we want to extend warm wishes to all our team members celebrating this Festival of Lights. Diwali holds immense cultural significance and symbolizes the victory of light over darkness.

We encourage you to take this opportunity to share your Diwali traditions with the team. Whether you light diyas, create rangolis, or enjoy festive meals, let's embrace the diversity of our team's celebrations.

May this Diwali bring joy, prosperity, and a bright future to you and your loved ones.

Warm regards, [Your Company]

Legal and Compliance

  • Accommodations: Be aware of potential time off requests and accommodate employees who observe Diwali.
  • Cultural Sensitivity: Ensure that workplace celebrations and communications are culturally sensitive and respectful.

By recognizing and respecting Diwali, US employers can contribute to a more inclusive workplace, fostering a positive atmosphere that values cultural diversity and understanding.

Important Holidays
US Employers Guide to Holi
The date varies, but Holi usually falls in March. Known as the Festival of Colors, Holi marks the arrival of spring. Participants throw colored powders and water at each other, symbolizing the triumph of good over evil and the joy of life.
December 14, 2023

Holi, the vibrant and joyous festival of colors, is one of the most celebrated Hindu festivals in India. As a US-based employer, understanding and acknowledging Holi can foster cultural inclusivity and strengthen bonds with employees from Indian backgrounds. This guide provides insights into specific dates, the level of importance, background on the holiday, cultural practices, ways to celebrate as a US employer, and important legal and compliance considerations.

Specific Dates to Keep in Mind

Holi is a spring festival and usually falls between late February and March. The main day of celebration, known as Dhulandi or Rangwali Holi, involves the playful throwing of colored powders and water.

Level of Importance

Holi holds high importance in India, marking the arrival of spring and symbolizing the triumph of good over evil. It is celebrated with enthusiasm and exuberance across the country.

Background on the Holiday

Holi has its roots in Hindu mythology, particularly the legend of Prahlad and Holika. It is a time for joy, love, and the breaking down of social barriers. The festival encourages forgiveness and the renewal of relationships.

Specific Cultural Practices

  • Playing with Colors: Participants engage in color fights, smearing each other with brightly colored powders.
  • Water Balloon Fights: Water-filled balloons are thrown, adding an extra element of fun to the celebrations.

Traditional Foods

  • Special Holi delicacies like gujiya, mathri, and thandai are prepared and shared.

Specific Items

Participants usually wear old or white clothing that can easily be colored during the festivities. Wearing sunglasses and applying oil to the skin before playing with colors is common.

Specific Foods

Holi is associated with a variety of special sweets and beverages. Thandai, a spiced milk drink, is a traditional Holi favorite.

Celebrating Holi as a US Employer

Understanding and acknowledging Holi can contribute to a more inclusive workplace. Here's how:

  • Flexible Scheduling: Consider allowing flexible work hours to accommodate Holi celebrations.
  • Virtual Celebrations: Host virtual events or encourage employees to share their Holi experiences and traditions.

Communicating Holi to Your Teams

Subject: Celebrating Holi - Embracing the Festival of Colors

Dear [Team],

As we approach the vibrant festival of Holi, we want to extend warm wishes to all our team members celebrating this Festival of Colors. Holi is a time of joy, love, and the triumph of good over evil.

We encourage you to take part in the festivities, whether it's playing with colors, enjoying traditional foods, or simply embracing the spirit of renewal. Let's celebrate the diversity of our team and make this Holi a colorful and memorable one.

May your lives be filled with the colors of joy and happiness.

Warm regards, [Your Company]

Legal and Compliance

  • Accommodations: Be aware of potential time off requests and accommodate employees who observe Holi.
  • Cultural Sensitivity: Ensure that workplace celebrations and communications are culturally sensitive and respectful.

By recognizing and respecting Holi, US employers can create a workplace culture that values diversity, fosters inclusivity, and embraces the rich tapestry of cultural traditions.