Insight, analysis & opinion from Joe Paduda

< Back to Home


Research Roundup – or, stuff you don’t have to read because I did.

There’s so much great research published every day – and a lot of crap too – that it is impossible to figure out A) what should I read and B) what does it mean.

So, here’s what I found worth reading of late.

A Dutch study on the impact of automation on the workforce found:

  • annually. 0.7% of workers left their employer due to automation
  • higher-educated and higher-paid workers are MORE likely to be affected than their lower-wage colleagues
  • overall the impact of automation is a lot less than from mass layoffs.

Employer sponsored health insurance:

  • covers more Americans than any other type of insurance
  • 156 million of us get insurance from our employers – Medicare is second, at less than half that number

BUT – the percentage of Americans covered by employer-sponsored health insurance actually DROPPED over the last 20 years.

Of course, it’s not so much if you have insurance – it’s how much you have to pay out of pocket. Which, to coin a phrase, is becoming a ship-load as deductibles have exploded. Total worker cost sharing has increased about 50% over the last decade.

Meanwhile, employer-sponsored health insurance costs per member have gone up a lot faster than Medicare and Medicaid.

Finally, the good folks at WCRI have published a new compendium sure to be of interest – State Policies on Treatment Guidelines and Utilization Management: A National Inventory. Get it here. Kudos to  Dongchun Wang, Kathryn Mueller, and Randy Lea for what was undoubtedly a LOT of work.

2 thoughts on “Research Roundup – or, stuff you don’t have to read because I did.”

  1. Great stats to highlight. The split-off between deductibles and copays stick out like a sore person on Valentine’s Day. Wonder why the decrease in copay spending? Is it just more plans moving towards high deductible/no copay?

    1. Hello Mat – thanks for the note – I believe you captured it – deductibles are replacing copays. I personally think this is stupid – but it is easy for insurers to administer and keeps their costs down.

      But it is crappy policy and does not help improve health.

      cheers Joe

Comments are closed.

Joe Paduda is the principal of Health Strategy Associates




A national consulting firm specializing in managed care for workers’ compensation, group health and auto, and health care cost containment. We serve insurers, employers and health care providers.



© Joe Paduda 2019. We encourage links to any material on this page. Fair use excerpts of material written by Joe Paduda may be used with attribution to Joe Paduda, Managed Care Matters.

Note: Some material on this page may be excerpted from other sources. In such cases, copyright is retained by the respective authors of those sources.