Retiree medical plan design: determining the philosophy, communicating the need

Much has been written, both in benefit-related journals and in the general press, about the recent statement, FAS 106, issued by the Financial Accounting Standards Board (FASB). This statement requires most employers to begin accounting for retiree health care benefit costs for active employees as well as current retirees, creating a significant negative financial impact. Most of the attention has been focused on getting the numbers that will tell the extent of the impact resulting from FAS 106. The next step has been to review retiree medical coverage to see how the affected companies can change it to reduce their liability. Although the urge is strong to adopt a quick-fix solution, employers can greatly benefit by reviewing their benefit philosophies and making plan decisions that make sense for them. This article discusses key questions that can help focus the issue on company philosophies and lays out a framework for determining suitable plan designs that can also help companies manage the retiree medical liability.     

RESPONSE-TIME MEASUREMENT IN SURVEY RESEARCH A METHOD FOR CATI AND A NEW LOOK AT NONATTITUDES

The paper introduces a methodology for measuring accuratelythe time it takes respondents to answer questions in computer-assistedtelephone surveys. The methodology, which is completely invisibleto respondents, comprises a computer "clock," capable of timingresponses with millisecond accuracy, and a "voice-key" thatconverts sounds emitted by respondents into signals capableof triggering the computer clock. Response times to questionson a range of attitude questions, including stable and unstableattitudes, were measured. The results revealed orderly normsin the latencies associated with various types of survey questions.The latencies associated with the expression of stable and unstableattitudes are discussed in the context of the notion of "nonattitudes"and shed new light on this controversial thesis. Overall, ourresults demonstrate that response latencies can be measuredprecisely and reliably in telephone surveys and that the datafrom such measurement open new windows on the cognitive dynamicsof survey responses.     

An evaluation of socially responsive planning in a new resource town

New resource towns on the Canadian frontier have presented planners with opportunities to experiment with innovative planning ideas which attempt to resolve the persistent problems of such communities. In the planning of Tumbler Ridge, a new coal mining town in British Columbia, socially responsive planning was an attempt to develop a town using principles derived from social science research. In this paper the reactions of residents to selected attributes which reflect the application of these principles are examined five years after settlement began. Ratings of community attributes offer an indication of aspects of residential satisfaction, while the results of a principal components analysis suggest the dimensionality of residents' evaluative structures and provide a useful framework within which to consider planning issues. Issues examined are: the association between employment and the community environment; the suitability of the environment for children; and the social environment. While social aspects of the new community are judged as satisfactory, less positive elements reflect the underlying influence of the economic well-being of the mining company on overall community satisfaction. When compared to indicators of community satisfaction in other western Canadian resource towns, ratings for Tumbler Ridge tend to be fairly low. It is concluded that the inability of planners to adequately control implementation or dontinuity of their ideas has resulted in a community not distinctly different from other resource towns. Efforts have been further hampered by a lack of adequate models of the distinctive dynamics of resource communities.     

Population growth,farmland, and the long-run standard of living

This paper studies the natural-resources element in the theory of population growth over the very long run. In the context of the stock of land and Malthusian crises in earlier times, the model shows how resources have become more available rather than more scarce, even as population and income have increased.The paper sketches a mechanism which, added to the Malthusian system, leads to entirely different conclusions than does the Malthusian system. Using the illustration of food and land, change in knowledge and hence in the stock of resources is made a function of the stock of knowledge and the price of resources. The speed of adjustment depends on the economic and social climate for the development of new knowledge. Population growth first raises food and land prices, which then stimulate the creation of new resources, eventually leading to less scarcity of resources and lower prices than originally prevailed.That is, population growth creates new problems which in the short run constitute additional burdens which, in the longer run, lead to new developments that leave people better off than if the problems had never arisen.This paper benefitted from being presented in earlier draft at a Population Association of America meeting, to the Economic History workshop at the University of Illinois, and to a seminar of the International Union for the Scientific Study of Population in New Delhi. We appreciate valuable comments on earlier drafts from Stanley Engerman, E. L. Jones, William McNeill, and two anonymous referees. Gunter Steinmann acknowledges financial support from the Volkswagen Foundation and a travel grant from Fulbright Commission.     

Estimation of mortality from orphanhood in adulthood

This paper extends earlier research into methods for estimating adult mortality from information on the recent incidence of orphanhood. It presents a series of regression coefficients for estimating female and male mortality from synthetic cohort data on the subsequent orphanhood of those who had a living mother or father at exact age 20. Such information can be obtained either where questions about parental survival have been asked in two inquiries or by asking retrospectively about dates of orphanhood in a single survey. Although the method is somewhat sensitive to errors in the reporting of ages and dates, it is a promising source of up-to-date estimates of adult mortality that are free from bias due to the underreporting of the orphanhood of young children ("the adoption effect").     

The effects of regulatory tools on organizational populations

One of the main activities of regulation is the control of market development by influencing the number of firms in an industry, their entry into an industry, and their exit from an industry. Population ecology is used as a framework for explaining both the direct and indirect effects of regulatory activity on entry, exit, and market structure. This framework is then used to derive specific propositions about regulatory effects on entry, exit, and market structure in the health maintenance organization industry.     

The seasons of a CEO's tenure

This article proposes a model of the dynamics of the CEO's tenure in office. The central argument is that there are discernible phases, or seasons, within an executive's tenure in a position, and that these seasons give rise to distinct patterns of executive attention, behavior, and, ultimately, organizational performance. The five delineated seasons are (a) response to mandate, (b) experimentation, (c) selection of an enduring theme, (d) convergence, and (e) dysfunction. The theoretical and practical implications of the model are discussed.     

From QA to TQM

In the decade from 1950 to 1960, two quality-related processes--medical audit and total quality management--were being developed, one directly in the health care field and the other in the manufacturing sector. These processes remained isolated from each other until the mid-1980s. Each would have a separate but major effect on the health care industry.     

Survey provides overview of profession's responsibilities

At the end of 1990, the Physician Executive Management Center, Tampa, Fla., undertook a survey of College members to determine levels of compensation and benefits and to provide a glimpse at the roles and responsibilities of physician executives. The results of the survey have recently been published by the Management Center. In this article, the roles and responsibilities of physician executives for the overall sample are summarized.     

RACE-OF-INTERVIEWER EFFECTS IN A PREELECTION POLL VIRGINIA 1989

All published preelection surveys of the 1989 Virginia gubernatorialcontest overestimated the vote share of the black candidateand eventual victor, Douglas Wilder. We offer a "social desirability"interpretation of the polls' inaccuracies and hypothesize thatclaiming support for Wilder was the socially desirable responsefor some whites, especially when the interviewer was black.We show a race-of-interviewer effect on the vote intention ofwhite respondents of 8–11 percentage points in a preelectionsurvey of Virginia voters. The effects were greatest among whiteDemocrats and among whites who were more uncertain of theirvote intention. We discuss the implications of these findingsfor race-of-interviewer research and for improving the accuracyof preelection forecasts in contests with black and white opposingcandidates.