By NextBestFitPhase 1: Enactment & build · Step 1.13
Launch the displaced-worker program
Month 6 onward; benefits through Year 6 · Department of Labor; state workforce boardsDiscuss this step
About 975,261 workers in insurance, billing, brokerage, PBMs, and related jobs will lose them over four years. The program pays wage replacement, wage insurance, training, and bridge pensions, and gives hiring preference at UHA and in health care.
Legal vehicle
Universal Health Act, Title VIII; administered by DOL through state workforce agencies.
Who does it
Department of Labor; state workforce boards
When
Month 6 onward; benefits through Year 6
One-time cost
$104.4B
$104.4B total over Years 1–6 (see the workforce page), in the transition table. Not in the steady-state ledger.
In this step
Tasks
5 tasks
Costs & calculations
4 cost items, each with its calculation
Trade-offs
2 pros · 2 cons · 2 trade-offs
Risks
1 risks with mitigations
What changes in the system
1 existing laws, programs, or institutions changed
Other countries
3 comparisons
Cost items
- Worker transition program$104.4B
- Worker transition program: full calculation$104.4B
- Jobs: Provider billing, coding, prior-authorization & patient-collections staff−$12.4B
- Jobs: Revenue-cycle management & claims clearinghouse companies−$4.5B
Depends on
Nothing: this step can start first.
Steps that depend on this one
None.