Few advocate a wholesale shift to government-directed medicine, but most are seeking broad changes in the employer-subsidized health system, which they regard as unsustainable in its current form.
Moreover, in response to rapid technological advances, organizational structures have been transformed over the past decade, leading to drastic changes in the employer-employee relationship.
The Secretary may require an employer to update a registration under this section not later than 30 days after a change in the employer's address, other contact information, officers, process agent, or other essential information, as determined by the Secretary.
The report acknowledged that if the Department of Health, Social Services and Public Safety's assertion that if 2006-07 management costs factor in inflation, pay modernisation and a change in the employer's superannuation rate, then real-term savings on management costs of £17.3m would have been made, reducing the expenditure to £107.7m.
The change in the employer wedge over a short time frame is significant by historical standards, and roughly of the magnitude of a three percentage point increase in the employer payroll tax.
However, the change in the employer wedge is small in comparison to changes in the employee wedge, which looks more like a change in the employee payroll tax exceeding ten percentage points.
* Changes in the way employers' superannuation payments (pension contributions) were made reduced the real rise for GPs by 5-6 per cent in 2004-05, and the proportion of their earnings taken as income by 1.2-1.5 1.2-1.5 per centS InformatheNHS Information Centre
The bleak statistics do not reflect some more-promising changes in the way employers are designing their health benefits, said Paul Fronstin, senior research associate with the nonpartisan Employee Benefit Research Institute.
Studies of indirect costs demonstrate high expenditures related to productivity losses, changes in employment (employer and/or area of work), loss of income, premature mortality and dead-weight losses (table 5).
"The relatively quiet period in 2014 may give way to bigger changes in 2015 as the employer shared-responsibility provision in the ACA takes effect for large employers," the report says.
The disability community polled also sites the top ways to impact the work environment for PwDs as changes in employer attitudes, increased employer training on successfully recruiting, hiring, and accommodating employees with disabilities and a change in disability benefits so that recipients could work without risking losing them altogether.
