By NextBestFitWorker transition program
Wage replacement, retraining, and placement into growing health jobs (care coordination, aides, IT).
Mends the main losers of admin savings.
Review ledgerHow this path connects
This path
Worker transition program
Concrete changes if chosen
What would actually have to change in law, agencies, payment rules, or systems.
- Fund wage replacement, retraining, and placement for displaced workers
Effects
Each effect has its own page: the evidence, the case that it is or isn't a real cost, and whom it affects.
What it fixes
- Simplifying billing would displace hundreds of thousands of workers
Wage replacement, retraining, and job placement support workers displaced by administrative savings. The program uses part of those savings to help workers move into growing health jobs.
What it creates or worsens
- Takes years, or money up front, before it pays off
Wage replacement, retraining, and job placement for displaced billing workers are costly.
- Requires workers to change roles or skills
Retraining displaced billing workers for care coordination, aide, or information technology jobs has variable success.
Who's affected
Who gains
- Insurance and billing workers
- Simplifying billing would displace hundreds of thousands of workers: Workers lose jobs if billing is simplified without a transition plan.
Who loses
- Taxpayers and public budgets
- Takes years, or money up front, before it pays off: Wage replacement, retraining, and job placement for displaced billing workers are costly.
Where it has been tried
- U.S. Trade Adjustment Assistance: Mixed record; works better with job placement.
- United States: In fiscal 2023, 76.7% of Trade Adjustment Assistance participants obtained new employment within six months of exiting the program.Sources: U.S. Department of Labor (2024)